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A spectral domain optical coherence tomography (SD-OCT) analysis of macular status after scleral buckling for retinal detachment

Session Details

Session Title: Vitreoretinal Surgery IV

Session Date/Time: Friday 27/09/2013 | 16:30-18:00

Paper Time: 17:02

Venue: Hall 3 (Level 0)

First Author: G.Bhushan INDIA

Co Author(s):    A. Seth   B. Ghosh   M. Thakar   U. Raina     

Abstract Details


A successful scleral buckling surgery for macula off retinal detachment is usually not accompanied with complete recovery of vision. This study is to determine the pathological changes at macula in such cases responsible for poor visual outcome.


All scleral buckling surgeries were performed between August 2012-nNovember 2012 by the same surgeon at Guru Nanak Eye Centre, Delhi, India


24 patients with macula off retinal detachment were included. All patients underwent scleral buckling with cryopexy. Post op BCVA was recorded and SD-OCT was done on day 3, 1 month , 3 month.


Out of 24 cases 16 patients had IS/OS junction disruption. 7 cases had persistent neurosensory macular detachment out of which 4 resolved over a period of 3 months. 1 patient developed Cystoid macular edema. 3 patients had outer retinal corrugation. Other findings included foveal thinning and Epiretinal Membrane.


A careful study of macular status post successful scleral buckling surgery demonstrates various pathological changes causing an unsatisfactory visual outcome.

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