Outcome of surgery after macula-off retinal detachment – results from MUSTARD, one of the largest databases on buckling surgery in Europe
Article first published online: 1 JUN 2010
© 2010 The Authors. Journal compilation © 2010 Acta Ophthalmol
Volume 90, Issue 5, pages 481–486, August 2012
How to Cite
Thelen, U., Amler, S., Osada, N. and Gerding, H. (2012), Outcome of surgery after macula-off retinal detachment – results from MUSTARD, one of the largest databases on buckling surgery in Europe. Acta Ophthalmologica, 90: 481–486. doi: 10.1111/j.1755-3768.2010.01939.x
- Issue published online: 27 JUL 2012
- Article first published online: 1 JUN 2010
- Received on April 5th, 2009. Accepted on April 8th, 2010.
- retinal detachment;
- scleral buckling;
Purpose: To evaluate the anatomical success rate of scleral buckling surgery in the treatment of rhegmatogenous retinal detachment and to evaluate the differences in outcome between patients suffering macula-off retinal detachment and those without a macular involvement.
Methods: As a retrospective interventional case series, Munster Study on Therapy Achievements in Retinal Detachment (MUSTARD) is one of the largest ever established of retinal detachment patients and their outcome after buckling surgery, with 4325 patients who underwent surgery between 1980 and 2001. In 53.94% (n = 2134) of 3956 patients with nontraumatic retinal detachment, the macula was involved. The main outcome measure was the achievement of dry anatomical attachment of the retina.
Results: The success rate in patients with macula-off retinal detachment is 80.46% and thus 7.78% lower (p < 0.01) than that in those patients with their macula intact whose success rate amounted to 88.24%. The overall success rate of all 4325 MUSTARD patients was 83.98%.
Conclusions: Scleral buckling is an established and mostly successful method for the treatment of retinal detachment. As our case series has demonstrated, even eyes with macula-off can be treated successfully by this procedure, thereby avoiding the complications of primary vitrectomy.