Scleral buckling in stage 4A/B retinopathy of prematurity: A retrospective analysis of 105 eyes.

The primary surgical approaches for stage 4 ROP include scleral buckling (SB), lens-sparing vitrectomy (LSV), and lensectomy with vitrectomy (L + V), with the choice depending on disease progression and other anatomical factors.[ 4 , 5 ] SB, which involves either segmental or encircling techniques, relieves traction by creating an indentation of the sclera, thereby promoting reattachment and stabilizing the retina.[ 6 , 7 ] While there is an increasing trend toward vitrectomy for ROP management, previous literature has established the indications for LSV in Stage 4A/4B ROP.[ 8 , 9 , 10 , 11 , 12 , 13 ] However, there are limited case series and a scarcity of longer-term follow-up studies on the specific role of SB in the management of stage 4 ROP.[ 14 , 15 ] Moreover, lacunae exist in the management of Stage 4B ROP with segmental or encircling buckles.[ 7 , 16 , 17 ] Our study describes the overall role of segmental/encircling bands in management of stage 4A/4B ROP in large case series with longer follow-up.

also in 63,971 other papers