Scleral buckle revision to treat recurrent rhegmatogenous retinal detachment

W. E. Smiddy, B. M. Glaser, R. G. Michels, S. De Bustros

Research output: Contribution to journalShort surveypeer-review

12 Scopus citations


Recurrent rhegmatogenous retinal detachment sometimes occurs following scleral buckling surgery in the absence of advanced proliferative vitreoretinopathy (grade C-2 or greater). Such detachments can occur because: 1) the scleral buckle is not properly positioned beneath the original break; 2) the buckle is not high enough; 3) the break is elevated off the buckle due to progressive vitreous traction; 4) there are new breaks; and 5) chorioretinal adhesions is insufficient. Techniques that may be useful for reattaching the retina in these cases include: 1) adding scleral buckling material to augment the original buckle; 2) modifying the existing buckle without adding new material; 3) replacing the original buckle with other material; 4) re-treating inadequately closed breaks; and 5) combinations of these four techniques. Vitrectomy may be avoided in many cases.

Original languageEnglish (US)
Pages (from-to)716-720
Number of pages5
JournalOphthalmic surgery
Issue number10
StatePublished - Jan 1 1990
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology


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