Scleral Buckling: Where we are, Choice from World Over

Abstract

The purpose of this study is to summarize the latest reports on the management of rhegmatogenous retinal detachment and to suggest management guidelines for choosing a surgical method in patients with rhegmatogenous retinal detachment. Most rhegmatogenous retinal detachments led to full retinal detachment and vision loss in the affected eye prior to the period of scleral buckling (SB). Scleral buckling was developed in the 1950s, allowing surgeons to treat rhegmatogenous retinal detachment surgically. The study gave questionnaire to 109 retinal surgeons from 18 different countries like Europe, America, and Asia etc. Surgical management of eyes with rhegmatogenous retinal detachment associated with proliferative vitreoretinopathy (PVR) depends on the location and extent of membranes. Pars plana vitrectomy is needed for eyes with posterior and extensive anterior epiretinal proliferations with or without subretinal strands to remove the contractile membranes and release the resultant retinal shortening.