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29 G Endoillumination Assisted Scleral Buckling Using New Illuminated Indenter-marker

The authors declare potential conflict of interest regarding the new design of the instrument. Purpose: To report a 29 gauge endoillumination assisted scleral buckling technique for rhegmatogenous retinal detachment (RRD) using a new illuminated indenter-marker and non-contact wide-angle viewing system. Methods: Nine consecutive cases with RRD underwent 29 gauge endoillumination assisted scleral buckling using a new instrument, illuminated...

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My Experience with PTFE Explants in the Last 15 Years (189 cases)

Expanded PTFE (e-PTFE) is a material derived from goretex, that has been used since the seventies for vascular surgery. Afterwards its utility was expanded to reconstructive and plastic surgery, and in the ophthalmological field  to oculoplastics, corneal surgery and scleral buckling. It is a smooth surfaced, resistant, permeable and highly biocompatible material that can be used as buckling element. In addition it is non elastic and...

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When 360° Scleral Buckling Saves Visual Acuity of Our Patients on the Long-term

Introduction: The 360° scleral buckling is a surgical technique that keeps an important place in our practice. Indeed, for recurrent complicated retinal detachments with a grade D of proliferative vitreoretinopathy after vitrectomy and scleral buckling of one or more quadrants, we are often forced to practice a retinectomy associated with injection of silicone oil forever. But another way exists… Settings: 360° scleral buckling avoid...

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External Surgery: A Simple Solution for First Hand Procedures Failures

Since the development of Ab interno surgery in the 2000s, surgeons have more surgical options for the treatment of retinal detachment (RD). While being currently set aside, ab externo scleral buckle (SB) surgery, still has a place for certain cases of RD. With or without pars plana vitrectomy (PPV), SB is also a useful option for surgical failures after PPV. Using surgical videos, I will illustrate SB surgery for RD with the objective of...

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Retinal Detachment: Try a Scleral Buckling First!

In this presentation, we will reflect on our experience in using scleral buckling procedure as the initial treatment modality for retinal detachment. Contact Details: Email: martiano.d@gmail.com Cell Phone: +33624122418  

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Scleral Buckling, Vitrectomy and Pneumatic Retinopexy: An Individualised Approach by Indication and Based on Evidence

The surgical approach to repairing retinal detachment (RD) has been a success story since Jules Gonin identified the retinal breaks to be the cause of retinal detachment. The techniques however have evolved over the years. Three techniques in particular, namely scleral buckling (SB), pars plana vitrectomy (PPV) and pneumatic retinopexy (PR), have been proved to be most successful and are therefore used around the world by almost all...

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PTFE Buckling Removal

Contact Details: Email: jflerouic@gmail.com Cell Phone: /+33660166157

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Buckling Suture Removal

Contact Details: Email: jflerouic@gmail.com Cell Phone: /+33660166157

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Miragel Buckling Removal

Contact Details: Email: jp.berrod@gmail.com Cell Phone:...

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Retinal Necrosis After Cryo-buckle

Contact Details: Email: jp.berrod@gmail.com Cell Phone:...

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Cryo-buckling Associated with Scleromalacia

Contact Details: Email: jp.berrod@gmail.com Cell Phone:...

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Subretinal Fluid Bleb After Successful Scleral Buckling for RD: A Case Series After 4-5 Years

Paolo Corazza_SCIENTIFIC POSTER 2015 Purpose: To evaluate the subretinal fluid (SRF) blebs after successful scleral buckling for retinal detachment (RD) and to investigate its presence after 4-5 years and anatomical and functional features. Design: Retrospective case series. Methods: 15 patients were included in the study. All patients underwent careful ophthalmological examination . Best corrected visual acuity (BCVA) , Optical coherence...

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A Case of Pseudomonas Aeruginosa Infection After Scleral Buckling in RD

Purpose: To report a case of a case of pseudomonas aeruginosa infection after scleral buckling in retinal detachment. Case Summary: A 68-year-old male presented with 2 day history of pain in the right eye. The patient had a history of scleral buckling for retinal detachment 10 years prior and excisional biopsy for conjunctival mass 1 month prior. Biopsy revealed chronic inflammation and granulation tissue formation. Slit lamp examinations...

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Scleral Buckling Technique with BIOM System

A thirty-six years old patient presented with inferotemporal chronic retinal detachment involving the macular area for only two days. Retinal detachment was due to multiple atrophic holes in the periphery, with clear lens, no posterior vitreous detachment and laser treatment in peripheral predisposing lesions. The patient underwent scleral bucking surgery in the other eye several years ago. We decided to perform scleral buckling surgery...

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Double-blind Macular Indentation: Doctor & Patient «The Force Will Guide You»

We present 2 cases of myopic macular indentation with different complexity but similar anatomical and functional outcomes: 1) 70-year-old female with posterior staphyloma and macular detachment who underwent 23 g vitrectomy to peel the posterior hyaloid membrane, placing a silicone rail over the macular region and leaving 1300 cs silicone oil as tamponade to prevent the enlargement of a small choroidal detachment. 1 year later, silicone...

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Scleral Buckling Without SRF Drainage nor Cryopexy for RD

SCIENTIFIC POSTER_Luis Arrevola Velasco We present our results during this past fourteen years in 117 patients with an uncomplicated retinal detachment (RD), who underwent a scleral buckling without subretinal fluid drainage and no cryopexy. We achieved reattachment of the retina in 91% of cases, similar to what is described with other techniques of scleral buckling surgery. However, our rate of complications intraoperatively as well as...

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29 G Chandelier Light for Optimal Positioning of Adjustable Macular Buckling in High Myopic MH

Purpose: To evaluate the efficacy of a modified Adjustable Macular Buckling Device in the treatment of myopic macular hole retinal detachment with posterior staphyloma. Methods: Two patients with myopic macular detachment and macular hole were operated using the macular buckling procedure. An adjustable Macular Buckling device was utilized in both cases and it was modified by adding a 29-g optical fiber to illuminate its macular...

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Suprachoroidal Macular Buckling for Myopic Traction Maculopathy

Advantages: Myopic traction maculopathy (MTM), also known as myopic foveoschisis, describes the schisis-like thickening in the outer layers of highly myopic eyes with posterior staphyloma. Other findings may also include inner retinal fluid, foveal detachment, and lamellar or full-thickness macular holes followed by progressive retinal detachment. Suprachoroidal buckling (SCB) procedure is a new approach for treating MTM by creating...

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Macular Buckle for MTM: Retinoschisis and Macular RD with and Without MH

Myopic traction maculopathy is a pool of clinical pictures secondary to the posterior staphyloma, such as retinoschisis, macular detachment with macular hole or macular detachment without macular hole. Vitrectomy is often linked to relapse of retinal detachment or to iatrogenic macular holes. I present the alternative of using macular buckle, not only when the detachment is accompanied to a macular hole but also in cases of retinoschisis...

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How to Seal a MH with a Scleral Buckle?

RETINA PHOTO_Janusz Michalewski We illustrate the case of a 76-year-old woman with rhegmatogenous retinal detachment (RRD) and coexisting full-thickness macular hole (FTMH). On admission, the patient presented counting fingers vision in her left eye. Fundus evaluation revealed RRD with peripheral tear, involving three quadrants of the retina and the macula. Spectral Domain optical coherence tomography (SD-OCT) confirmed FTMH (Figure 1a, b)....

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New Indication for the Macular Buckle in High Myopia

Myopic traction maculopathy associated with posterior staphyloma is not successfully treated with endobulbar approach. In fact vitrectomy is linked to a high rate of iatrogenic macular holes or to unsuccessful surgery. Macular buckle can be successfully used to treat not only macular detachment with macular hole, but also macular detachment without macular hole and macular foveoschisis. The presentation will show how a simpler and faster...

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A Novel Episcleral Macular Buckling Technique for Recurrent Macular Hole Retinal Detachment in High Myopic Eyes

The purpose would be to describe and evaluate a novel technique of episcleral macular buckling in postvitrectomy recurrent macular hole retinal detachment in highly myopic eyes. A 7 mm silicone sponge strengthened with a U-shaped 0.5 mm orthodontics stainless steel wire fed along its length and hand-bent to produce L-shaped buckle of appropriate shape and length, is used. The episcleral macular has been performed on 15 highly myopic eyes...

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Sutureless Anchoring of Silicone Implants in Scleral Buckling Procedure for Management of Rhegmatogenous Retinal Detachments

Advantages: Sutures are required to anchor scleral implants during scleral buckling procedure for management of retinal detachment. Suturing of buckle elements is associated with several complications including: 1) Needle Perforation (leading to intra-ocular bleed, retinal breaks, choroidal hemorrhage, softening of globe and change of surgical plan), 2) Premature loosening of suture (leading to anterior migration of buckle and failure of...

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Sutureless Scleral Buckling

The purpose of the presentation is to describe a new temporary device for non drainage scleral buckling which requires no suturing. The device is left in place for 4-7 days. It is used to treat retinal detachments secondary to retinal breaks not exceeding one clock hour in any quadrant where there is sufficient orbital support. It can be used in phakic patients with inferior breaks or young patients without resulting in buckling induced...

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Possibility of Complex Nano-bio-lent Mehran 3 for Scleral Buckling in RD with Vessels Pathology

To avoid a post operation complication and improve reattachment retina for vessels pathology, with Nano biomaterial lent complex Mehran 3, after scleral buckling.

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Unusual Post-op High VA After Scleral Buckling with Incomplete Macular Reattachment

Advantages: To report a clinical case of long-standing post-operative high best corrected visual acuity (BCVA) after scleral buckling procedure due to rhegmatogenous retinal detachment (RD) with incomplete macular reattachment. Methods: A sixty-four-year-old female was admitted to Kyiv Eye Microsurgery Center in September 2011 with diagnosis of rhegmatogenous RD (extension from 5 to 11 o’clock) on her right eye temporal side with...

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E.la.D.A.laR. Treatment of Rhegmatogenous Retinal Detachment: Exclusive Use of Laser Beam (My Way)

Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Advantages: The study of E.LA.D.A.LA.R (Exoplant, laser-assisted Drainage, Air, laser Retinopexy) technique for the treatment of rhegmatogenous retinal detachment. Methods: From 1996 to 2007, 300 patients were examined with rhegmatogenous retinal detachment with only one retinal break. They were treated with Eladalar technique. Surgical technique: Segmental...

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Scleral Buckling Technique Without Retinopexy for Phakic Rhegmatogenous Retinal Detachment

Alireza Ramezani, Morteza Enrezari, Parisa Ashtar-Nakhaie, Arman Moolazade, Mehdi Yaseri (Tehran, Iran) Advantages: Compared to the classic method of scleral buckling surgery with retinopexy (using intraoperative cryotherapy, indirect laser or diathermy, and postoperative laser photocoagulation), the method without retinopexy provides faster and easier surgery, less chance of intraoperative complications, and no expense or trouble from...

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Is Scleral Buckling Really the Less Traumatic Surgery – A Spectral Optical Coherence Tomography Study

Zofia Michalewska*, Janusz Michalewski, Dominik Odrobina, Slawomir Cisiecki, Maciej Bednarski, Jerzy Nawrocki (Lodz, Poland) Advantages: Spectral Domain Optical Coherence Tomography presents retinal architecture after scleral buckling and explains why visual acuity does not always fully recover after surgery. Methods: This is a single centre, prospective analysis of 132 consecutive eyes after scleral buckling, which were evaluated with...

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Minimal Segmental Buckling Using a Slit Lamp and Three-mirror Lens for the Treatment of Retinal Detachment

Salim Ben Yahia*, Rim Kahloun, Salma Gargouri, Salah Jenzeri, Riadh Messaoud, Moncef Khairallah (Monastir, Tunisia) Advantages: To repair rhegmatogenous retinal detachment with minimal segmental scleral buckling using a slit lamp and three-mirror lens. Methods: Patients with primary rhegmatogenous retinal detachment were treated with a segmental buckle (silicone sponge) extending over the area of the retinal break(s). Localization and...

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Bleb-like Syndrome After Sclera Buckle Surgery for Retinal Detachment

Maria Chiara Freno*, Maurizio Mete, Grazia Pertile (Negrar, Italy) Background: Small bleb-like subretinal lesions (bleb-like syndrome) have been shown to be a relatively common finding after scleral buckling (SB) for retinal detachment (RD), while it is very uncommon after pars plana vitrectomy (PPV). Although bleb-like lesions were previously reported as small pigment epithelium detachment, OCT has demonstrated that they are small focal...

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How to Minimize Scleral Buckling Complications?

Frank Becquet, Jean-François Le Rouic, Didier Ducournau (Nantes, France) Purpose: To evaluate the use, tolerance and complications of episcleral implants in retinal detachment surgery. Methods: A review was carried out on the medical reports of 2155 patients with a single surgical procedure (cryotherapy and scleral buckling) for rhegmatogenous retinal detachment that were operated on by three surgeons (Frank Becquet, Jean-François Le...

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Management of Biological Material (Mehran, Bio-lent) for Treatment and to Avoid — Postoperative Complication After Scleral Buckling Surgery in Retinal Detachment

Mehran Masoudnaseri (Odessa, Ukraine) Purpose: To demonstrate the inherent and utilitarian advantages of a new biomaterial in scleral buckling (SB) applications Methods: Scleral buckle by Mehran. Bio-lent is a biomaterial (trimethyl carbonate) with apparent similar mechanical properties as silicon material that can be used instead of silicon material. The difference is that after 4-6 months it is dissolved and absorbed spontaneously and...

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Should the Training of Young Vitreoretinal Surgeons Begin with Learning Scleral Buckling? Difficulties and Results in the Second Year of Scleral Buckling Surgery

Dominik Odrobina, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: Should the training of young vitreoretinal surgeons begin with learning scleral buckling? Methods: Analysis of the difficulties in the various stages of the operation and evaluation of results in the second year of scleral buckling surgery. Effectiveness / Safety: Scleral buckling, as a treatment for retinal detachment, should not be...

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Acute Uncomplicated Retinal Detachment in Presbyopic Patients 
– Is Buckling or Vitrectomy the Better Approach These Days?

Stefanie Pape (Bremen, Germany) With advances in vitrectomy techniques in recent years there has been a trend away from buckling and towards primary vitreous surgery with combined lens exchange for primary uncomplicated retinal detachments in presbyopic patients in which the preservation of the natural lens is of secondary importance. A number of reasons seem to be responsible for this development: • learning vitrectomy techniques seems...

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Primary Rhegmatogenous Retinal Detachment in Phakic and Pseudophakic Cases: The Additive Effect of Scleral Buckling to Pars Plana Vitrectomy and Comparison of the Properties of the Vitreous Base and Retinal Tears in Uncomplicated Primary Phakic Rhegmatogenous Retinal Detachment and Pseudophakic Retinal Detachment

Hülya Güngel, Sevil Karaman, Evre Peker (Istanbul, Turkey) Advantages: To evaluate the additional effect of scleral buckling (SB) to pars plana vitrectomy and to compare the properties of the vitreous base and retinal tears in uncomplicated primary phakic rhegmatogenous retinal detachment (prd group) and pseudophakic retinal detachment (psrd group). Methods: This retrospective study statistically compares primary anatomical and...

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A Novel Episcleral Macular Buckling Technique for Recurrent Macular Hole Retinal Detachment in Highly Myopic Eyes (Preliminary Results)

Hassan Mortada (Cairo, Egypt) Advantages: Factors acting in the production of macular hole RD in highly myopic eyes may include traction exerted by partially detached posterior hyaloid, altered ILM, potent retinal arterioles and progression of posterior staphyloma. Vitrectomy techniques with peeling of posterior hyaloid and ILM and internal tamponade with long acting gas or silicone oil, can eliminate traction exerted by the first 3...

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Persistent Submacular Fluid After Scleral Buckling Surgery for Macula « off » Rhegmatogenous Retinal Detachment: Is it Possible to Prevent?

S Dumas, S Guigou, PY Mérité, F Meyer, E Parrat, S Pommier, H Rouhette* (Mougins, France) Persistent submacular fluid is a very common evolution after scleral buckling surgery for macula « off » rhegmatogenous retinal detachment. Total resolution of this fluid can take few months and is responsable of delayed visual recovery. About clinical cases illustrated by OCT and fundus autofluorescence, the authors discuss the different...

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Scleral Buckling to Retinal Detachment Surgery Not to be Disclaimed

Lidmila Prochazkova, Martina Zavorkova (Usti nad Labem, Czech Republic) Advantages: Cryosurgical approach, relying on cerclage and buckling, still bears considerable benefits. The lens does not blur as an effect of the pars plana vitrectomy (PPV) and at the same time no other surgical intervention (i.e. removal the silicone oil) is necessary. Due to blurring of lens after vitrectomy, this external approach is suitable especially for younger...

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Maximizing Exposure for Scleral Buckling

http://www.evrs.eu/medias/2008/congress/Maximizing-Exposure-for-Scleral-Buckling.flv Tara A. Young Advantages: To demonstrate a simple technique to maximize scleral exposure for buckling or posterior segment plaque placement. Methods: 2-0 silk sutures are used to loop the rectus muscle, and the thumb and index finger used to grasp the suture above the knot, with middle and ring fingers placed in the loop to direct exposure, with the hand...

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Microsurgical Scleral Buckling with OFFISS

http://www.evrs.eu/medias/2008/congress/Microsurgical-Scleral-Buckling-with-OFFISS.flv Jerzy Nawrocki, Zofia Nawrocka, Zofia Michalewska, Janusz Michalewski Advantages: OFFISS was developed to improve quality of vitrectomy by bimanual vitrectomy without endoillumination. Since the system is combination of indirect ophthalmoscopy and microscope it was used for microsurgical scleral buckling. It does not require to change the surgical concept...

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Transscleral Laser Retinopexy after Drainage of Sub-Retinal Fluid with Modified Needle Technique During Scleral Buckling Surgery

Eman Kahtani Advantages: Different modalities of retinopexy in buckling surgery have been attempted in rhegmatogenous retinal detachment (RRD). Each has potential complications which need to be overcome. Breakdown of blood retinal barrier (BRB) and dispersion of the retinal pigment epithelium (RPE) are undesirable complications created secondary to cryotherapy. Such a breakdown leads to macular edema, macular pucker, subretinal pigment...

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RD External Procedure Session

http://www.evrs.eu/medias/2007/videos/rdexternalprocedure.flv

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Superior Oblique Complications Following Scleral Buckle Procedures

Jonathan M. Holmes, MD (Rochester, MN), Colin A. McCannel, MD (Rochester, MN), David A. Leske, BS (Rochester, MN) PURPOSE: To describe the spectrum of strabismus complications associated with the superior oblique (SO) tendon caused by improper scleral buckle placement, to describe treatment and possible prevention. METHODS: In a retrospective chart review, we identified six cases of vertical and torsional strabismus requiring superior...

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Learning Curve for Scleral Buckling Operation: Lessons from the First 80 Cases

Woo Hyok Chang, (Daegu, South Korea) PURPOSE: To provide an insight into the learning curve of ophthalmologist in fellowship course associated with scleral buckling procedure and to determine risk factors affecting outcomes during this period. METHODS: Prospective data were collected on 80 consecutive scleral buckling operations alone performed by author over a 22-month period, beginning with his first year fellowship course. All patients...

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Multiple Macular Retinal Detachments after Successful Buckle Surgery: Infrared, Autofluorescence, OCT and Microperimetric Features

http://www.evrs.eu/medias/2006/congress/Multiple-Macular-Retinal-Detachments-after-Successful-Buckle-Surgery:-Infrared,-Autofluorescence,-OCT-and-Microperimetric-Features.swf Francesco Faraldi, MD (Torino, Italy), Chiara M. Eandi, MD (Torino, Italy), Maria Maddalena Rabbione, MD (Torino, Italy), Manuela Fornara, MD (Torino, Italy), Paola Vaona, (Torino, Italy) PURPOSE: Purpose:To investigate the infrared, autofluorescence, optical coherence...

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A Surgical Technique to Avoid Fragmentation of Episcleral Miragel Buckle Elements During Removal

http://www.evrs.eu/medias/2006/videos/A-Surgical-Technique-to-Avoid-Fragmentation-of-Episcleral-Miragel-Buckle-Elements-During-Removal.flv Hussein Wafapoor, MD (Jackson, MS), Michael L Palmer, MD (Jackson, MS), Jassica D. McCluskey, MD (Jackson, MS) SYNOPSIS The surgical technique begins with incising the conjunctiva directly over the encircling Miragel buckle (MB) in 2 or 3 quadrants between the rectus muscles. Peri MB capsule is also...

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OFFISS for Microsurgical Scleral Buckling

http://www.evrs.eu/medias/2006/videos/OFFISS-for-Microsurgical-Scleral-Buckling.flv Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Zofia Michalewska, MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland) SYNOPSIS The video presents general idea of scleral buckling for rhegmatogenous retinal detachment. Additional animation of patient’s symptoms of retinal detachment is presented. This was created by a patient who...

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Optical Coherence Tomography (OCT) Retina Imaging 24 Hours after Scleral Buckling Surgery

Anita Lyssek-Boron, MD (Katowice, Poland), Slawomir Jan Teper, MD (Cieszyn, Poland), Edward Aleksander Wylegala, MD, PhD (Katowice, Poland) PURPOSE: To assess early effectiveness of scleral buckling surgery in eyes with retinal detachment. METHODS: 12 patients with retinal detachment lasting no more than 7 days who underwent scleral buckling surgery. 24 hours after surgery OCT (Stratus III OCT, Zeiss Meditec) was performed. Morphologic and...

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Systematic Primary Vitrectomy without Scleral Buckling for Pseudophakic Retinal Detachment

Pierre-Olivier Lafontaine, MD (Dijon, France), Alexandre Guillaubey (Dijon, France), Laure Malvitte, (Dijon, France), Brice Dugas, (Dijon, France), Jean-Paul Berrod, MD (Nancy, France), Isabelle Hubert, MD (Nancy, France), Catherine Creuzot, MD (Dijon, France) PURPOSE: To assess the functional and anatomical outcome of systematic primary vitrectomy without scleral buckling for pseudophakic rhegmatogenous retinal detachment (PRRD) and to...

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Macular Function after Scleral Buckling Surgery for Recent Onset Retinal Detachment

Patrik Schatz, MD, Kristina Holm, MD, Sten Andréasson, MD, PhD Purpose: To investigate retinal function, and specifically central, macular function after scleral buckling surgery for recent onset retinal detachment. Methods: 14 Patients with rhegmatogenous retinal detachment of less than seven days´ duration, were operated with scleral buckling surgery. In eight of these, the detachment engaged the fovea, preoperatively. Clinical...

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