J Korean Ophthalmol Soc.  1979 Sep;20(3):309-311.

Circumferential Buckling on Equator: II. Advantages of Circumferential Buckling on Equator with Conserved Scleral Implant

• Kim SH
• Cho YA

Abstract

As a contrast to the surgery described in part I, a lamellar undermining was performed in a conventional way. The sclera was lamellarly undermined on the retinal hole areas which extended at least 3 mm beyond the disc edge of the retinal breaks. If the scleral buckling with a circling element is indicated the location of the undermined area determines whether the circling band must follow the globe's equator or another great circle around the eye, The technique for decreasing a vitreoretinal traction used in this series of cases was that proposed by Schepens. Of 56 surgical procedures for retinal detachment, there was a case of an unsuccessful closure of the retinal break due to fishmouthing of the posterior edge of the break. The technique proposed by Schepens was sufficiently promising. But it has the following drawbacks; difficulties in exact hole localization in a high detached retina, anchoring sutures of the circling band behind the equator and problems to protect the vortex veins from the circling band etc. Our experience since 1978, led us to modify the conventional view, in favor of the circumferential buckling on the equator.

MeSH Terms

Retina
Retinal Detachment
Retinal Perforations
Sclera
Scleral Buckling
Sutures
Traction
Veins