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Scleral Buckle for Retinal Detachment

Scleral Buckle for Retinal Detachment

Scleral buckle surgery treats retinal detachment by supporting the eye wall and helping the retina reattach and stabilise.
View VideoNotes that scleral buckling is the most common procedure for repairing retinal detachments. Shows attaching of the band to the outside of the eye, causing a minor indentation pulling the choroid and retina back together. Recovery times indicated up to several months, and warns that pre-detachment levels may not be restored.
Scleral buckle surgery is a well-established procedure used to treat retinal detachment by supporting the outer wall of the eye and reducing forces pulling on the retina.

What is a scleral buckle

A scleral buckle is a flexible band placed around the outer surface of the eye. It gently indents the eye wall inward, bringing it closer to the detached retina.

This helps support reattachment and reduces stress on the retinal surface.

How scleral buckle works

By altering the shape of the eye slightly, the buckle reduces traction and helps close retinal breaks. This allows the retina to settle back into position.

The support remains in place to maintain stability over time.

When scleral buckle is used

Scleral buckle may be used in cases where retinal tears are present and traction needs to be reduced. It is often selected based on the pattern and location of detachment.

The procedure

The procedure is performed in a controlled surgical environment. The buckle is carefully positioned on the outside of the eye and secured in place.

The approach is tailored to the specific detachment.

Recovery after scleral buckle

Recovery occurs gradually, and vision may take time to stabilise. Follow-up visits are important to monitor retinal attachment.

Post-operative care

Patients are monitored for healing and retinal stability. Instructions are provided to support recovery and reduce strain on the eye.

View VideoDescription Detailed overview of what recovering scleral buckle patients should expect following the surgery, including recovery times, additional medications, discomfort management, and what activities are should be limited or avoided during the recovery period.

Expected outcomes

Scleral buckle surgery has a long track record of effectiveness. Outcomes depend on the extent of detachment and timing of treatment.

When to seek assessment

If you experience visual changes or concerns after surgery, urgent assessment is recommended. If you require evaluation for retinal detachment or scleral buckle surgery, consult Dr Cronjé Ophthalmologist & Eye Surgeon | FC Ophth (SA) | MBChB (Pret) | Dip Ophth (SA) for expert care.