Evaluation of scleral bulking for rhegmatogenous retinal detachment in high myopes

ABSTRACT

Forty eyes with rhegmatogenous retinal detachment associated with high myopia [-10.0 diopters or more] underwent scleral buckling operation. The state of high myopia leads to some technical difficulties in performing such a procedure and this adds to the complications of the operation. In this study, the intraoperative complications occurred in 10 eyes [25%] and included retinal incarceration into the drainage site [3], choroidal hemorrhage and subretinal hemorrhage [2] and multiple drainage procedures [5]. The postoperative complications occurred in 9 eyes and included recurrent retinal detachment [4], hemorrhagic choroidal detachment [2], proliferative vitroretinopathy [PVR] [2] and cystoid macular edema [CME] in one eye. Results of the study indicated that although scleral buckling has certain complications, it is a good treatment for retinal detachment associated with high myopia