Type of Surgery

Information

Doctor Certified

Last updated: 02/17/2009

Aftercare

Immediately following the surgery, patients will need help with meals and walking. Some patients must remain hospitalized for several days. Many scleral buckling procedures however are performed on an outpatient basis.

After release from the...

hospital, patients should avoid heavy lifting or strenuous exercise that could increase intraocular pressure. Rapid eye movements should also be avoided; reading may be prohibited until the surgeon gives permission. Sunglasses should be worn during the day and an eye patch at night. Pain and a scratchy sensation as well as redness in the eye also may occur after surgery. Ice packs may be applied if the conjunctiva swells. Patients may take pain medication, but should check with their physician before taking any over-the-counter medication.

Excessive pain, swelling, bleeding, discharge from the eye or decreased vision is not normal, and should immediately be reported to the physician.

If a vitrectomy was performed in conjunction with the scleral buckling, patients must sleep with their heads elevated. They also must avoid air travel until the air bubble is absorbed.

After scleral buckling, patients will use dilating, antibiotic or corticosteroid eye drops for up to six weeks to decrease inflammation and the chance of infection. Best visual acuity cannot be determined for at least six to eight weeks after surgery. Driving may be prohibited or restricted while vision stabilizes. At the six-to-eight week postoperative visit, physicians determine if the patient needs corrective lenses or stronger prescription lenses. Full vision restoration depends on the location and severity of the detachment.



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Other Information

A scleral buckle is one of several ophthalmologic procedures that can be used to repair a retinal detachment. Retinal detachments are usually caused by retinal tears, and a scleral buckle can be used to close the retinal break.

Scleral buckles come in many shapes and sizes. An encircling band is a thin silicone band sewn around the circumference of the sclera of the eye. Buckles are often placed under a band to create a dimple on the eye wall.

The scleral buckle is secured around the eyeball under the conjunctiva. This moves the wall of the eye closer to the detached retina. It also may move the retina closer to the vitreous. This alteration in the relationships of the tissues seems to allow the fluid which has formed under the retina to be pumped out, and the retina to re-attach. No-one really understands the physics or physiology of this process.


From http://en.wikipedia.org/wiki/Scleral_buckle

Other Information

Approximately 56% of all patients achieve results of 20/20 or better and over 90% achieve 20/40 or better (which is good enough to drive without corrective lenses in most regions).1 Those with moderate to high myopia (greater than 7 diopters) have a lesser chance of achieving that result. As technique and technology improve, the results continue to improve.


From: Eye Surgery Education Council

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