By Gaurav K. Shah, MD; and Baseer Ahmad, MD Is scleral buckling surgery for retinal detachment (RD) repair here to stay? We believe the answer is “yes,” but only if ophthalmologists continue to perform and teach these procedures. If we do not, scleral buckling procedures will pass into history. There is no doubt that pars plana vitrectomy (PPV) is an effective procedure, valued day in and day o...

Pre-existing scleral pathology is an important risk factor for globe rupture during scleral buckling procedures. We report here, the surgical management of an unexpected scleral pathology found at the scleral buckling procedure in a retinal detachment patient. A 77-year-old white female with retinal detachment underwent a scleral buckling procedure. The surgery was converted into a scleral graf...

Scleral buckling is a highly successful technique for the repair of rhegmatogenous retinal detachment that requires intra-operative examination of the retina and treatment of retinal breaks via indirect ophthalmoscopy. Data suggest that scleral buckling likely results in improved outcomes for many patients but is declining in popularity, perhaps because of significant advances in vitrectomy ins...

The bidirectional laser Doppler technique and monochromatic photography were used to measure the absolute blood flow rate in the major temporal retinal arteries in seven patients following unilateral scleral buckling and encircling procedures, and in two patients before and after removal of scleral buckling elements. In the seven patients who had undergone uncomplicated scleral buckling procedu...

Pneumatic retinopexy is increasingly recommended to treat some patients with retinal detachment to avoid the complication of induced refractive changes sometimes associated with scleral buckling procedures. Prospective evaluation of refractive changes after scleral buckling procedures was performed in 75 eyes of 69 patients. Encircling scleral buckles caused an average increased axial length of...

PURPOSE To test the efficacy and safety of a biodegradable collagen-glycosaminoglycan (CG) polymer as the material for scleral buckling in rabbit eyes. METHODS Segmental scleral buckling was performed by using a silicone sponge in one eye and a biodegradable CG polymer in the other eye of 20 rabbits. Wound and conjunctival reactions were evaluated by external photographs 1 day and then every ...

The 'fishmouth phenomenon' seen in some previously treated retinal detachments is associated with large horeshoe tears and scleral buckling techniques. A method of treating patients with this complication is described in which scleral buckling with implant or explant is not used. The technique utilises intravitreal air tamponade with cryopexy and gives good results. The incidence of patients de...

PURPOSE To evaluate changes in higher-order aberrations (HOAs) after scleral buckling surgery for the treatment of rhegmatogenous retinal detachment (RD). DESIGN Prospective observational comparative case series. PARTICIPANTS The study included 67 eyes of 67 rhegmatogenous RD patients undergoing scleral buckling surgery, and the fellow normal eyes comprised the control group. Twenty-seven e...

normal 0 false false false en-us x-none ar-sa background: we aimed to compare peak systolic velocity of central retinal artery (psv.cra) and peak systolic velocity of ophthalmic artery (psv.oa) between patients with retinal detachment who were treated with segmental scleral bucking and scleral buckling with encircling procedure. materials and methods: this study was a descriptive-analytic cross...

Aims—To study the eVects of segmental scleral buckling and encircling procedures on tissue circulation in the human optic nerve head (ONH) and choroid and retina. Methods—Using the laser speckle method, the normalised blur (NB) value, a quantitative index of tissue blood velocity, was measured every 0.125 seconds and averaged over three pulses in the optic nerve head (NBONH) and choroid and ret...