gms | German Medical Science

22nd Annual Meeting of the German Retina Society

German Retina Society

26.06. - 27.06.2009, Berlin

Visual acuity and subfoveal fluid after successful detachment surgery: Scleral buckling vs. Vitrectomy

Meeting Abstract

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  • Hakan Kaymak - Bundesknappschafts' Eye Clinic Sulzbach/Saar
  • R. Schmitt - Bundesknappschafts' Eye Clinic Sulzbach/Saar
  • U. Mester - Bundesknappschafts' Eye Clinic Sulzbach/Saar

German Retina Society. 22nd Annual Meeting of the German Retina Society. Berlin, 26.-27.06.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. DocRG2009-29

doi: 10.3205/09rg30, urn:nbn:de:0183-09rg301

This is the translated version of the article.
The original version can be found at:

Published: June 29, 2009

© 2009 Kaymak et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Prospective, comparative, and nonrandomized trial.

One hundred patients (60±14 years) with a rhegmatogenous detachment (RD) (symptoms duration: 10±13 days) were treated with a episcleral buckle, cryotherapy, in selected cases , external drainage of subretinal fluid or with a vitrectomy, cryotherapie and a fluid-gas (SF6 30:70) exchange. Mean follow up was 9±6 weeks. Patients had a complete ophthalmic examination, and an optical coherence tomography (OCT). Visual acuity was determined with ETDRS-charts. Complete foveal reattachment after macula-off RD were found in almost all patients treated with vitrectomy (VA improved from 0.08 to 0.25). In patients operated with a buckle VA improved from 0.06 to 0.13, with subfoveal fluid in 50% of the patients.In the macula-on detachment group VA was 0.4 before and after scleral buckling and in the vitrectomy group there was an improvement from 0.2 to 0.32. Subfoveal fluid was found only in some cases in both groups.

Conclusions: Complete foveal reattachment after macula-off RD occurs with vitrectomy more often than with scleral buckling resulting in a better visual acuity. In patients with macula-on detachment visual acuity seems to be better after scleral buckling than after vitrectomy.