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KMID : 1151620210060010001
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Journal of Retina
2021 Volume.6 No. 1 p.1 ~ p.7
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Surgical Outcome of Scleral Buckling for Rhegmatogenous Retinal Detachment Performed by Vitreoretinal Fellow
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Kang Min-Chae
Kim Byung-Jae
Choi Soon-Il
Ham Don-Il
Shin Dong-Hoon
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Abstract
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Purpose: To evaluate the surgical outcome of scleral buckling performed by vitreoretinal fellows compared with that performed by retina specialists.
Methods: Clinical records of patients who underwent scleral buckling due to rhegmatogenous retinal detachment performed by vitreoretinal fellows with less than 2 years of experience were retrospectively reviewed. The same number of surgeries performed by retina specialists with more than 10 years of experience were also reviewed for comparison. Anatomical success was defined by the 1-year reattachment rate without reoperation.
Results: Forty-one eyes of 41 patients treated by fellows and same number of eyes treated by retina specialists were included in this study. Mean patient age was 42.9 ± 18.4 and 31.7 ± 14.5 years, respectively (p = 0.003). Preoperative visual acuity, refractive error, phakic status, and macular detachment rate were not significantly different between the two groups. Inferior retinal breaks were present in 29.3% (12/41) of patients in the fellow group and 56.1% (23/41) of those in the retinal specialist group (p = 0.014). The anatomical success rate in the fellow group was significantly lower than that of the retinal specialist group: 80.5% (33/41) versus 95.1% (39/41), respectively (p = 0.043).
Conclusions: Vitreoretinal fellows performed scleral buckling in older patients and in rhegmatogenous retinal detachment with fewer inferior retinal breaks with an 80.5% anatomical success rate; however, this was significantly lower than the success rate of retina specialists.
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KEYWORD
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Beginner, Fellow, Rhegmatogenous retinal detachment, Scleral buckling
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