The scleral buckle is usually permanent.
The scleral buckle is usually permanent. However, in the case of minor retinal detachment, a temporary buckle may be used, which is removed once the eye heals.
What is scleral buckling?
Scleral buckling is a surgical procedure performed to treat retinal detachment or retinal tears. The retina is a layer inside the eye that transmits visual information to the brain. Due to some disease or trauma, the retina may separate from the structures that provide it with blood supply. This is called retinal detachment. Retinal detachment is a medical emergency because it can cause irreversible vision loss if left untreated. The sclera is the white outer part of the eye and supports the eyeball. In this procedure, the surgeon attaches a piece of silicone or a sponge from the sclera to the site of retinal detachment or retinal tear. The scleral buckle works by pushing the sclera toward the retinal tear or detachment, thus repairing it. Scleral buckling may be combined with other procedures that are used to treat retinal tears and detachments like laser photocoagulation and cryopexy.
What are the signs and symptoms of retinal detachment?
The signs and symptoms of retinal detachment include:
- A sudden increase in the number of eye floaters
- Small specks are seen in the field of vision
- Flashes of light in the field of vision
- Reduced or loss of peripheral vision
How is scleral buckling performed?
Patients are advised not to eat or drink anything for at least 6 hours before the surgery. The surgeon may also advise the patient to temporarily discontinue certain medications, such as anticoagulants, as they increase the risk of bleeding during and after surgery.
- Scleral buckling takes place in a surgical setting, in the operation room. The surgery is performed under general anesthesia or IV sedation along with local anesthesia administered to the eye. The surgery takes around 45 to 60 minutes.
- The pupils are dilated (made bigger) with eye drops.
- A cut is made over the outer layer of the eye, the sclera.
- The scleral buckle is then surgically stitched (sutured) and fixed around the sclera. The buckle supports the retina and pushes the sclera toward the middle of the eye, pushing the retina, reattaching the detached retina, and closing retina tears.
- To prevent a further tear or detachment of the retina, the surgeon may perform other procedures that are used to treat retinal tears and detachments like laser photocoagulation and cryopexy to reinforce the results of scleral buckling:
Laser photocoagulation: A laser beam is used to create thermal energy to burn tissue, which creates scar tissue, helping seal a tear or stop fluid leakage.
Cryopexy: Extreme low temperature is used to freeze the outer surface of the eye, which causes scar tissue formation and seals tears and leaks.
- Any excess fluid accumulated behind the retina is drained.
- Antibiotic eye drops are applied to prevent infection.
- Antibiotics and painkillers are administered
- The patient can go home the same day after surgery once the anesthesia wears off
- An eye patch may need to be worn for a few days
- Ice packs may be used to reduce pain and swelling
- Antibiotic eye drops may be prescribed for 6 weeks
- Pain, redness, and swelling resolves in 1-2 weeks
- Protective eyewear should be worn while showering to prevent soap or shampoo entering the eyes
- Sunglasses need to be worn during the day
- Excessive screen time, exercise, sports, swimming, driving, and resuming work should be avoided for a few weeks until the doctor approves
- Air travel and high-altitude treks should be avoided until the eye heals because high altitudes can increase eye pressure
- Recovery time is anywhere from 2-8 weeks.
What are the complications of scleral buckling?
The surgery provides good outcomes; however, there are risks associated with the surgery, which include:
- Diplopia (double vision)
- Cataract (opacification of the lens)
- Glaucoma (increased eye pressure)
- Recurrence of retina, detachment
- New retinal tears
Health Solutions From Our Sponsors
Top How long does a scleral buckle last? Related Articles
Cataract SurgeryCataract surgery is a surgical procedure in which a small incision is made in the surface of the eye in or near the cornea and a thin ultrasound probe is inserted into the eye so ultrasonic vibrations can dissolve the clouded lens. These tiny pieces are sucked out through the probe and an artificial lens is placed in the space the cataract occupied.
CataractsA cataract is an eye disease that causes the eye's lens to become cloudy and opaque with decreased vision. Causes of cataracts include diabetes, hypothyroidism, certain genetic illnesses, hyperparathyroidism, atopic dermatitis, and certain medications. Cataract symptoms and signs include a decrease in vision and a whitish color to the affected eye. Treatment for cataracts may involve cataract surgery.
Cataracts QuizWhat are cataracts and who gets them? Take this online quiz to learn how everyday activities may put you at risk.
Cataracts PictureCataract is a painless condition where the normally clear aspirin-sized lens of the eye starts to become cloudy. See a picture of Cataracts and learn more about the health topic.
Cataracts SlideshowCataracts are a painless clouding of the internal lens of the eye. Learn about symptoms like blurry vision, glare and poor night vision, causes, treatment, and cataract surgery.