2Kazakh Eye Research Institute, Postgraduate Education Department, Almaty, Kazakistan DOI : 10.37845/ret.vit.2023.32.6 Purpose: To perform and compare the results of circumferential buckling using a silicone sponge with and without Tenon?s capsule covering.
Materials and Methods: We analyzed cases of silicon sponge rejection after 691 cases of circumferential buckling using a silicone sponge in retinal detachment from 2007 to 2020. Depending on whether a silicone sponge was covered with Tenon?s capsule, all cases were divided into two groups: Group A (covered) ? 349 cases; Group B (not covered) ? 342 cases. The follow-up period was up to 2 years.
Results: In Group A, where a silicone sponge was covered with Tenon?s capsule, the rate of silicon sponge rejection was 0.3% (1 case), while in Group B, where the operation was performed classically, the rate of silicon sponge rejection was 5.2% (18 cases) (p<0.01).
Conclusions: Our study shows the possibility of minimizing the silicon sponge rejection with a simple method: covering a silicone sponge with Tenon?s capsule.
Keywords : scleral buckling, silicone sponge rejection, Tenon?s capsule, retinal detachment surgery