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New research · Ophthalmology
American journal of ophthalmology · 5d
Cohort studyAmerican journal of ophthalmology · 2026

Refractive Outcomes of Retinal Detachment Repair in Patients with Multifocal Intraocular Lenses with and without Scleral Buckling.

Jin Kyun Oh, Michael Y Zhao, William E Smiddy … Jesse D Sengillo
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OphthalmologyCohort study

Scleral buckling with retinal detachment repair caused about 1.0D more myopic shift

Refractive Outcomes of Retinal Detachment Repair in Patients with Multifocal Intraocular Lenses with and without Scleral Buckling.

Jin Kyun Oh … Jesse D Sengillo
American journal of ophthalmology · 2026
Purpose

To compare the refractive, visual, and anatomic outcomes following rhegmatogenous retinal detachment (rhegmatogenous retinal detachment) repair in pseudophakic patients with prior placement of multifocal intraocular lenses (multifocal intraocular lenses) treated by combined pars plana vitrectomy and scleral buckling (PPV/SB) or PPV alone.

Methods

Retrospective clinical cohort study.

n = 100 patients
Results

adding a scleral buckle shifts post-surgery eye focus more toward nearsighted

-0.05D
PPV alone
-1.03D
PPV/SB
More results

Eyes treated with PPV alone demonstrated a mean postoperative myopic shift of -0.05±0.53D compared with -1.03±0.78D in eyes that received SB as part of repair (p<0.05).

More results

Patients receiving #240 bands demonstrated the smallest mean myopic shift (-0.78±0.62D) compared with #41 bands (-1.14±0.84D) and #42 bands (-2.0±0.71D), although differences were not statistically significant (p=0.07).

“
Conclusion · 1 of 3

Compared with eyes treated with PPV alone, the addition of a SB was associated with approximately -1.0D greater postoperative myopic shift while demonstrating similar visual and anatomic outcomes.

Conclusion · 2 of 3

Refractive outcomes following SB placement in patients with multifocal intraocular lenses were comparable to prior reports in pseudophakic populations and may not represent a clinically prohibitive refractive change.

Conclusion · 3 of 3

These findings suggest that the addition of an encircling SB remains a viable option for RRDs in refractive-optimized patients.

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