{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T11:06:46Z","timestamp":1783854406464,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare preoperative characteristics and postoperative anatomical and functional outcomes of scleral buckle surgery using sponges versus tires, as well as explant\u2010related complications and the frequency of explant removal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included patients with primary rhegmatogenous retinal detachment (RRD) who underwent primary scleral buckling at the Manchester Royal Eye Hospital between 2008 and 2023. Preoperative data included age, macula status, type of RRD, ocular comorbidities and best\u2010corrected visual acuity (BCVA). Postoperative outcomes included single\u2010surgery anatomical success (SSAS), BCVA and explant\u2010related complications (extrusion, infection, high intraocular pressure and persistent diplopia).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 562 patients (mean age 36\u2009\u00b1\u200912\u2009years), 183 received sponges and 379 received tires. Sponges were more commonly used in dialysis\u2010related RRD (54% vs. 10%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and macula\u2010off eyes (52% vs. 36%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), and associated with worse preoperative BCVA (logMAR 0.84\u2009\u00b1\u20090.81 vs. 0.57\u2009\u00b1\u20090.72;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). SSAS rates were similar between groups (86.0% vs. 83.4%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.44) and mean BCVA improvement (\u0394BCVA) did not differ significantly (0.39\u2009\u00b1\u20090.57 vs. 0.29\u2009\u00b1\u20090.58 logMAR;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.29). In multivariable analysis adjusting for relevant clinical covariates, explant type was not independently associated with postoperative BCVA (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u2009\u20130.10;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.28) or SSAS (aOR\u2009=\u20090.79;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.71). Buckle extrusion occurred more frequently in the sponge group (12.6% vs. 3.4%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), leading to higher explant removal rates (14.8% vs. 6.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sponges were preferentially used in dialysis\u2010related RRD cases and were associated with worse preoperative BCVA and a higher proportion of macula\u2010off RRDs. SSAS rates and \u0394BCVA improvement were similar between groups. Sponges had significantly higher extrusion rates, resulting in more frequent explant removal.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aos.70082","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T11:46:00Z","timestamp":1769514360000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes and complications of sponges versus tires for scleral buckling in primary rhegmatogenous retinal detachment: The Manchester Buckle Study"],"prefix":"10.1111","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7980-4401","authenticated-orcid":false,"given":"Peter","family":"Kiraly","sequence":"first","affiliation":[{"name":"Manchester Royal Eye Hospital Manchester University Hospitals NHS Foundation Trust  Manchester UK"},{"name":"Oxford Eye Hospital Oxford University Hospitals NHS Foundation Trust  Oxford UK"},{"name":"Nuffield Laboratory of Ophthalmology University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5027-3483","authenticated-orcid":false,"given":"Myrta","family":"Lippera","sequence":"additional","affiliation":[{"name":"Manchester Royal Eye Hospital Manchester University Hospitals NHS Foundation Trust  Manchester UK"},{"name":"Department of Ophthalmology Humanitas Mater Domini  Castellanza Varese Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6676-9352","authenticated-orcid":false,"given":"Naseer","family":"Ally","sequence":"additional","affiliation":[{"name":"Manchester Royal Eye Hospital Manchester University Hospitals NHS Foundation Trust  Manchester UK"},{"name":"Division of Ophthalmology, Department of Neurosciences University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritu","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Manchester Royal Eye Hospital Manchester University Hospitals NHS Foundation Trust  Manchester UK"},{"name":"Barnet Hospital, Royal Free London NHS Foundation Trust  Barnet UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Moussa","sequence":"additional","affiliation":[{"name":"Manchester Royal Eye Hospital Manchester University Hospitals NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsveta","family":"Ivanova","sequence":"additional","affiliation":[{"name":"Manchester Royal Eye Hospital Manchester University Hospitals NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe","family":"Dhawahir\u2010Scala","sequence":"additional","affiliation":[{"name":"Manchester Royal Eye Hospital Manchester University 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