Primary scleral buckling in open-globe injury involving the posterior segment.

Journal Article (Journal Article)

PURPOSE: To determine whether scleral buckle placement at the time of primary repair of open-globe injury of the posterior segment is beneficial. DESIGN: Retrospective, comparative, nonrandomized interventional study. PARTICIPANTS: One hundred twenty-five open-globe injuries treated at the Duke University Medical Center from June 1980 to May 1997. METHODS: Open-globe injuries were classified with the Open-globe Injury Classification. Eyes that had zone 2 and 3 injuries that had a primary buckle placed were compared with those that did not. MAIN OUTCOME MEASURES: Subsequent retinal detachment, visual outcome, and need for subsequent scleral buckling. RESULTS: The rate of retinal detachment and the visual outcome were similar in the two groups. More than half of those who did not have a primary buckle placed had subsequent scleral buckling surgery. CONCLUSIONS: Many open-globe injuries of the posterior segment require eventual scleral buckle. There may be a role for placement of a scleral buckle at the time of primary repair.

Full Text

Duke Authors

Cited Authors

  • Stone, TW; Siddiqui, N; Arroyo, JG; McCuen, BW; Postel, EA

Published Date

  • October 2000

Published In

Volume / Issue

  • 107 / 10

Start / End Page

  • 1923 - 1926

PubMed ID

  • 11013200

International Standard Serial Number (ISSN)

  • 0161-6420

Digital Object Identifier (DOI)

  • 10.1016/s0161-6420(00)00212-8


  • eng

Conference Location

  • United States