Ventre Luca, Valastro Antonio, Mus Erik, Maradei Fabio, Pintore Giulia, De Salvo Gabriella
Ophthalmology Department, Beauregard Hospital, Azienda USL della Valle d'Aosta, Via L. Vaccari 5, 11100 Aosta, Italy.
Southampton Eye Unit, University Hospital Southampton Foundation Trust, Southampton SO16 6YD, UK.
Life (Basel). 2025 Mar 16;15(3):475. doi: 10.3390/life15030475.
Recurrence of retinal detachment (RD) following pars plana vitrectomy (PPV) with silicone oil tamponade is a surgical challenge. This study proposes a novel approach utilizing segmental scleral buckle to manage early recurrences, especially in inferior quadrants. A retrospective case series of four patients with early recurrent inferior RD post-PPV with silicone oil tamponade was conducted. The segmental scleral buckle technique, with or without subretinal fluid drainage, was employed. Clinical and surgical data were collected, including visual outcomes and complications. No intraoperative or postoperative complications were observed during the 6-month follow-up period. Visual acuity remained stable, and retinal reattachment was achieved in 100% of cases after silicone oil removal. Segmental scleral buckle emerges as a promising technique for managing early recurrent inferior RD in silicone oil-filled eyes. The technique demonstrates favorable outcomes, including retinal reattachment and visual acuity stability, without significant complications. Further studies are warranted to validate its efficacy and establish standardized protocols.
在采用硅油填塞的玻璃体切割术（PPV）后视网膜脱离（RD）复发是一项手术挑战。本研究提出一种利用节段性巩膜扣带术来处理早期复发，尤其是在下象限的新方法。对4例采用硅油填塞的PPV术后早期复发性下方RD患者进行了回顾性病例系列研究。采用了节段性巩膜扣带技术，有或没有视网膜下液引流。收集了临床和手术数据，包括视力结果和并发症。在6个月的随访期内未观察到术中或术后并发症。视力保持稳定，取出硅油后100%的病例实现了视网膜复位。节段性巩膜扣带术成为处理硅油填充眼中早期复发性下方RD的一种有前景的技术。该技术显示出良好的结果，包括视网膜复位和视力稳定，且无明显并发症。有必要进行进一步研究以验证其疗效并建立标准化方案。
