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Buckle in RD Surgery: My Way

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   How to perform buckle surgery with a scrubbed nurse only ? As our policy is to perform retinal detachment surgery as soon as there is a capacity in the OR, I do not always have a hold on a resident or fellow, who could assist me. An experienced nurse can equally perform the instrumentation and assist me simultaneously. She already has...

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Vitrectomy Instruments for Buckling Surgery

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Scleral buckling surgery for retinal detachment is a skill mastered by performing many cases. It is becoming increasingly difficult for a new generation of “vitrectomy surgeons” to achieve sufficient experience to become comfortable with the techniques involved. This is firstly because of expanding vitrectomy indications and...

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Why I Still Perform Buckling in Selected Cases

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Principles of rhegmatogenous retinal detachment (RRD) surgical management remains the same than 40 years ago: finding all retinal breaks, sealing the retinal breaks by creating a chorioretinal scar around the breaks («retinopexy»), drainage of subretinal fluid in some cases, and relief of vitreoretinal traction. To achieve these...

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Scleral Buckling…Are you Crazy!!! Back to the Future!

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   We have developed a new scleral buckling exoplant that can be inserted in minutes with one anterior suture which provides 4 clock hours of circumferential buckling.It is removed in three weeks, usually in the office. It resolves most problems associated with scleral buckling including strabismus, induced refractive error, and buckle...

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