Salim Ben Yahia*, Rim Kahloun, Salma Gargouri, Salah Jenzeri, Riadh Messaoud, Moncef Khairallah (Monastir, Tunisia)


To repair rhegmatogenous retinal detachment with minimal segmental scleral buckling using a slit lamp and three-mirror lens.


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 cryocoagulation of retinal breaks were performed using the slit lamp of the microscope and the three-mirror lens. Drainage of subretinal fluid and /or gas injection was performed when necessary.

Effectiveness / Safety:

Minimal segmental buckling is a cost-effective procedure. The operating time is rarely more than 30 minutes. Anatomical success is obtained in the majority of cases with a low rate of complications.

Take home message:

Minimal segmental buckling is a safe and cost-effective procedure with a high rate of anatomical success. The use of the slit lamp and the three-mirror lens, allowing better visualization and magnification of retinal breaks, is recommended.