Scleral Buckle
A silicone band placed around the eye to support the retina from the outside. Often combined with vitrectomy or used for certain types of retinal detachment.
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Scleral buckle illustration
What is a Scleral Buckle?
A scleral buckle is a piece of silicone rubber or soft plastic that is sewn onto the outside of the eyeball (the sclera). It creates an indent or "buckle" effect that supports the retina from the outside of the eye.
The buckle relieves traction on the retina and allows the retina to reattach to the underlying tissue. It is usually left in place permanently.
When is it Used?
- Retinal detachment (especially simpler detachments)
- Retinal tears that need additional support
- In combination with vitrectomy for complex detachments
- Certain types of retinal dialysis (tears at the edge of the retina)
Advantages
Minimally invasive
No entry into the eye
No foreign material inside
Reduced infection risk
Preserves lens
Usually doesn't cause cataract
High success rate
Over 90% success
The Procedure
How It's Done
- 1 Local or general anesthesia is given
- 2 The conjunctiva (clear covering) is opened
- 3 The silicone buckle is placed around the eye
- 4 It is sutured securely in place
- 5 Laser or cryotherapy seals retinal tears
- 6 The conjunctiva is closed
What to Expect
- • Usually outpatient procedure
- • Takes 1-2 hours
- • Mild to moderate discomfort
- • Eye may be red and swollen
- • Vision may be blurry for weeks
- • Usually performed with local anesthesia
Recovery
Activities to Avoid
- • Heavy lifting for 2-4 weeks
- • Strenuous exercise
- • Swimming
- • Driving until cleared
What You May Notice
- • The eye may feel "full" or pressure
- • Mild double vision initially
- • The eye may be prominent (proptosis)
- • The buckle is not visible from the outside