The surgery takes place in an operating room, usually on an outpatient basis (you go home the same day).īefore the surgery, your eye doctor may patch both of your eyes and have you stay in bed to keep the detachment from spreading. The seal holds the layers of the eye together and keeps fluid from getting between them. Usually extreme cold (cryopexy) or, less commonly, heat (diathermy) or light (laser photocoagulation) is used to scar the retina and hold it in place until a seal forms between the retina and the layer beneath it. The buckle effect may cover only the area behind the detachment, or it may encircle the eyeball like a ring.īy itself, the buckle does not prevent a retinal break from opening again. This buckling effect on the sclera relieves the pull (traction) on the retina, allowing the retinal tear to settle against the wall of the eye. ![]() The element pushes in, or 'buckles,' the sclera toward the middle of the eye. The buckling element is usually left in place permanently. The material is sewn to the eye to keep it in place. It is a method of closing breaks and flattening the retina.Ī scleral buckle is a piece of silicone sponge, rubber, or semi-hard plastic that your eye doctor (ophthalmologist) places on the outside of the eye (the sclera, or the white of the eye). ![]() Scleral buckling surgery is a common way to treat retinal detachment. This can lead to misaligned eyes ( strabismus) and double vision (diplopia).Health Library Skip Navigation Top of the page Scleral Buckling Surgery for Retinal Detachment Surgery Overview The scleral buckle can affect the eye muscles and how well they control the movement of the eyes.You may need glasses or contact lenses (or a new prescription) to correct the changes. You should have a follow-up vision examination after about 6 months to check for vision changes. Vision may change for several months after scleral buckling surgery. The change caused by a scleral buckle may cause a refractive error that can affect vision. Good vision depends on the shape of the eye. Since a scleral buckle pushes in on the eye, it can change the shape of the eye.The surgery may also affect your vision in other ways: In some cases, the buckling device may need to be removed. The plastic or rubber of the buckling device may rub on other parts of the eye, move out of place, or become a site of infection.Sometimes it is necessary to remove the buckling implant to treat the infection. You may need antibiotics and corticosteroids to reduce redness or discharge from the eye and treat the infection. People with glaucoma may have a higher risk of this complication. The pressure of the scleral buckle can raise the fluid pressure inside the eyeball.Detachment of the choroid (a part of the tissue that forms the eyeball) or swelling in the retinal area may delay healing.PVR usually requires additional treatment, including vitrectomy surgery. ![]() The most common cause of failure in surgery for retinal detachment is a type of scarring on the retina, called proliferative vitreoretinopathy (PVR), that can cause the retina to detach again.Most of these complications do not happen very often. Scleral buckling poses some short-term and long-term risks. Repeat surgeries or more complex detachments may take longer. A first-time surgery usually lasts 1 to 2 hours.Right before surgery, the doctor will use eyedrops to dilate your pupils and may trim your eyelashes to keep them out of the way. Before the surgery, your eye doctor may patch both of your eyes and have you stay in bed to keep the detachment from spreading.Local or general anesthesia may be used.The surgery takes place in an operating room, usually on an outpatient basis (you go home the same day).The element pushes in, or "buckles," the sclera toward the middle of the eye. It is a method of closing breaks and flattening the retina.Ī scleral buckle is a piece of silicone sponge, rubber, or semi-hard plastic that your eye doctor ( ophthalmologist) places on the outside of the eye (the sclera, or the white of the eye).
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