This redness and swelling usually decrease over 1-2 weeks following surgery. A patch and shield are placed on the eye at the end of surgery, and both the eyelids and the white part of the eye may appear red and swollen when the patch is removed. Unlike vitrectomy surgery, which takes place primarily inside the eye, scleral buckle surgery takes place primarily outside of the eye. If air or gas is injected into the eye, the surgeon may ask the patient to position the head after surgery so that the bubble supports the retina while it heals. In some cases, the surgeon will drain the fluid that has collected under the retina, and after draining this fluid the surgeon may inject a bubble of air or gas into the eye. Sometimes multiple silicone elements are used in order to provide appropriate support. The term "scleral buckle" refers to a silicone band which is placed around the outside of the eye, gently squeezing the eye wall and supporting the weak areas in the retina, including the tears that caused the retinal detachment. The decision to use local versus general anesthesia is made by the surgeon in conjunction with the patient and anesthesiologist. The surgery may be performed under either local anesthesia (sedation and a numbing injection around the eye) or under general anesthesia (completely asleep). Scleral buckle surgery is usually performed as an outpatient procedure, meaning that overnight hospitalization is not required. Actual time in the hospital or surgery center is longer due to preparation time, anesthesia induction and recovery, safety checks and administrative work. Scleral buckle surgery takes place in an operating room and usually takes 1-2 hours to complete. If the retinal detachment extends into the central part of the retina, central vision may be damaged. As more fluid enters this space, the retina cleaves (or "detaches") from the eye wall. Once the retina is torn, fluid can move from the middle of the eye through the tear into the space between the retina and the eye wall. Sometimes this occurs because of trauma but most of the time it is a natural age-related process. Retinal detachment occurs when the gel inside the eye (the vitreous gel) pulls away from the retina and causes a retinal tear. However, the retina is able to remove smaller amounts of fluid on its own.Scleral buckle is a surgical procedure used to repair retinal detachment. During the procedure, the surgeon may also make a tiny scleral hole to drain any fluid under the detached retina. These techniques may include heat (diathermy), light (laser photocoagulation), or cryotherapy (freezing). This ensures that the retina is kept in place until a seal forms, and also prevents fluid from entering. Upon its implantation, your surgeon will typically employ another treatment to hold the eyes’ layers together. The scleral buckle’s implantation holds the eye against the retina, with the goal of pulling it back into contact with the back eye wall. During the procedure, a retina surgeon places a small piece of silicone sponge or semi-hard plastic on the outside of the eye, specifically, on the sclera, the white part. In most cases, scleral buckling is an outpatient procedure performed in an operating room. Retinal detachments are almost always treated surgically, often with a scleral buckle. You may experience various sudden symptoms, including floaters, darkened vision, light flashes, blurriness, and if untreated, permanent blindness. The vitreous also offers clear access for light entering the lens to hit the retina’s photoreceptor cells, allowing you to see.īut with aging, the vitreous can shrink and pull on the retina, gradually moving it completely out of its proper placement, causing retinal detachment, a very serious health threat. Within your eye, most of the volume is taken up by the vitreous (also known as vitreous gel or humor), a clear, jelly-like substance supporting the eye’s structure. How Does The Vitreous Contribute To Retinal Detachment? Scleral buckle therapy is very effective in repairing retinal detachments. Often this procedure is performed in conjunction with another treatment method to treat any other retinal breaks or weakened areas. It is generally performed for retinal detachments, as the implant moves the affected retina back into contact with the back wall of the eye. A scleral buckle, or buckling, is a surgical procedure in which a special band is placed around an eye.
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