![]() A scleral buckle is usually left around the eye permanently. It is positioned behind the eyelids and the muscles that move the eye and as a result is not externally visible. Timely treatment is often required to prevent permanent vision loss.ĭuring the procedure, a scleral buckle, which is a thin strip of silicone shaped like a belt, is secured around the eyeball onto the sclera, or the white of the eye. This causes patients to experience shadows and decreased vision. Research is a driving force, with our physicians leading and participating in groundbreaking research studies and clinical trials, resulting in the development of advanced surgical techniques and innovative treatments.Scleral buckling is a surgical procedure performed in the operating room that can be used to repair a retinal detachment, which occurs when the retina becomes separated from the back wall of the eye, usually due to the development of tears in the retina. We perform in-office treatments, including intravitreal injections, vitrectomy, and scleral buckle. Our retinal centers feature cutting-edge retinal diagnostic testing tools and equipment, like fluorescein angiography and optical computed tomography (OCT). Our on-call physician and triage staff are available 24/7 for emergencies after hours, or on weekends and holidays. Our physicians and vitreoretinal surgeons treat multiple retinal, macular, and vitreous conditions, including dry and wet age-related macular degeneration (AMD), diabetic retinopathy, vein and artery occlusions, retinal tears and detachments, macular holes and macular puckers, floaters and flashes, and other conditions. Our retinal specialists and surgeons, trained at internationally renowned fellowship programs, continue to teach at prestigious institutions and author academic publications. With retina clinics in Salt Lake, Provo, Logan, Layton, and Lehi, you’re within close distance of essential vision care. Retina Associates of Utah is the largest retina specialty practice in the Intermountain West. However, it can take months or years for your vision to fully improve. Once the procedure’s completed, you may experience some mild eye pain, blurriness, swelling, and redness. In fact, 90 percent of patients have their retina completely repaired after a single operation. The scleral buckle procedure has been found to be very effective in more than 98 percent of retinal detachments. Depending on the amount of fluid under the detached retina, the area may need to be drained through a tiny scleral hole, but the retina can remove smaller amounts of fluid on its own. This seal holds the eyes’ layers together and keeps fluid from getting between them. Once the procedure is completed, your surgeon will use another treatment form – cryotherapy (freezing treatment), heat (diathermy), or light (laser photocoagulation) – to hold the retina in place until a seal forms. To get an unobstructed view of a potential retinal detachment, they may dilate your eyes and provide an ultrasound. ![]() What to Expect Before the Procedureĭuring an eye examination, your doctor may use special instruments to shine a light and carefully examine your retina. A vitrectomy involves the removal of the vitreous gel from the back of the eye. The scleral buckle holds the eye against the retina, pulling it back into position.Īnd while effective on its own, another operation, a vitrectomy, may be performed in conjunction with the scleral buckle procedure. Your retinal specialist will place a small piece of silicone sponge or semi-hard plastic on the outside of the eye, specifically, the sclera, the eye’s white part, exposing your eyeball. The scleral buckle procedure is typically performed in an operating room on an outpatient basis. Retinal detachments are almost always treated surgically. If left untreated, there can be permanent blindness. Just before complete retinal detachment, you may experience sudden symptoms, such as floaters, darkened vision, light flashes, and blurriness. This causes the retina, the thin layer of photosensitive tissue lining the back of the eye, to be pulled out of place. Retinal detachments typically occur when the vitreous gel (or vitreous humor), a clear, jelly-like gel filling most of the eye, starts to shrink away. What Does Scleral Buckle Surgery Involve? Scleral buckle therapy is very effective in repairing retinal detachments. The surgical team then uses another treatment method, such as cryotherapy or lasers, to treat any retinal breaks and other weak areas. The scleral band changes the affected eye’s shape, moving the retina back into contact with the wall of the eye. With a scleral buckle procedure, a silicone or plastic band is placed around the patient’s eye. For people diagnosed with retinal detachment, a surgical procedure, known as a scleral buckle or buckling, is often used to repair the damage.
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