Surgical technique for the placement of an encircling scleral buckle in the presence of a glaucoma drainage device

Purpose: The purpose of this study was to present a new surgical technique that facilitates placement of an encircling scleral buckle in a patient with a previously placed Baerveldt glaucoma implant who developed a retinal detachment due to a giant retinal tear. Methods: Case report of patient with previous Baerveldt glaucoma implant and a retinal detachment associated with a giant retinal tear who was managed with an encircling scleral buckle and pars plana vitrectomy. The encircling band was attached to the Baerveldt glaucoma implant to incorporate as a component of the encircling scleral buckle. Results: Reattachment with typical encircling effect without intraocular pressure complications was achieved. Conclusion: This technique offers an option for management of retinal detachment in the presence of a Baerveldt glaucoma implant.