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. 2025 Jun 1;45(6):1070-1075.
doi: 10.1097/IAE.0000000000004428.

NONDRAINAGE SCLERAL BUCKLING IN THE MODERN VITRECTOMY ERA

Gaetano R Barile  1   2   3 , Rohun Gupta  1   2 , Michael Engelbert  3   4 , Talia R Kaden  1   2   3 , William M Schiff  1   2   3
Affiliations

NONDRAINAGE SCLERAL BUCKLING IN THE MODERN VITRECTOMY ERA

Gaetano R Barile et al. Retina. .

Abstract

Purpose: To evaluate outcomes of rhegmatogenous retinal detachment treated with a scleral buckle (SB) without external drainage of subretinal fluid during the modern vitrectomy era.

Methods: The records of 107 eyes of 107 patients who underwent treatment with nondrainage SB surgery for primary rhegmatogenous retinal detachment with at least 3 months of follow-up were reviewed.

Results: SB surgery included segmental elements (radial, 44.9%; circumferential, 23.4%) and encircling procedures (31.8%). Most patients (68.2%) were aged younger than 60 years, and most eyes (89.7%) were phakic. Single breaks were present in 53.3% of the eyes. The macula was attached preoperatively in 66 eyes (61.7%). Myopia > 5.5 diopters (35.5%) and lattice degeneration (48.6%) were notable risk factors. Posterior vitreous detachment was present in 37.4% of the eyes. Single surgery retinal reattachment was achieved in 104 eyes; three of these eyes also received pneumatic gas injections postoperatively. Four eyes underwent anatomically successful repeat surgery, including one eye that developed a recurrent rhegmatogenous retinal detachment after release of an encircling element. One eye underwent removal of an exposed SB without sequelae, and one eye developed persistent diplopia treated with prism.

Conclusion: With proper case selection, nondrainage SB remains an excellent surgical procedure for repair of rhegmatogenous retinal detachment in the modern vitrectomy era.

Keywords: rhegmatogenous retinal detachment; scleral buckle.

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References

    1. Gonin J. The treatment of detached retina by searing the retinal tears. Arch Ophthalmol 1930;4:621–625.
    1. Custodis E. Bedeutet die Plombenäufnaehung auf die Sklera einen Fortschritt in Der operativen Behandlung der Netzhautablösung? Ber Deutsch Ophthalmol Ges 1953;58:102–105.
    1. Lincoff H. The evolution of retinal surgery: a personal story. Arch Ophthalmol 2009;127:923–928.
    1. Heimann H, Bartz-Schmidt KU, Bornfeld N, et al. Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment: a prospective randomized multicenter clinical study. Ophthalmology 2007;114:2142–2154.
    1. Ryan EH, Joseph DP, Ryan CM, et al. Primary retinal detachment outcomes study: methodology and overall outcomes-primary retinal detachment outcomes study report number 1. Ophthalmol Retina 2020;4:814–822.