Abstrak 
Anatomical Success of Combined Scleral Buckle and Pneumatic Retinopexy in Primary Retinal Detachment Surgery
Arief Kartasasmita, Ratu Puri Sastradiwirja, Rova Virgana, Erwin Iskandar, Iwan Sovani, Djonggi Panggabean
Universitas Padjadjaran, Ret-Vit 2016;24:293-296
Bahasa Inggris
Universitas Padjadjaran, Ret-Vit 2016;24:293-296
Pneumatic retinopexy, scleral buckling
Purpose: To describe the effect of combination of pneumatic retinopexy (PR) procedure to scleral buckle (SB) on rhegmatogenous retinal detachment surgery. Materials and Methods: A comparison study to 39 patients with rhegmatogenous retinal detachment who underwent SB (group 1) or combined SB and PR (group 2) between January 2014 and December 2014 was performed. Break location, macula status, visual acuity before and after surgery, break apposition, attachment of retina, and recurrence of RD were recorded. Results: The single surgery attachment rate for group 1 and 2 was 90% and 100%, respectively. Lower incidence of redetachment was noted in the combined SB and PR group. (0% vs 2%, p=0.487). We found that in 2 patients with malpositioned buckle in group 2, the break was closed after tamponade with SF6 and laser photocoagulation. The visual acuity in one-month follow-up was significantly different between the two groups (P=0.017). Conclusion: Combination of SB with PR may improved the attachment rate and may be used routinely especially for beginner ophthalmologist regardless precise localization of the on-break buckle placement.