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What Does A Buckle On The Eye Before An Eye Surgery Mean?

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Posted on Tue, 12 Jul 2016
Question: My husband is having eye surgery to have scar tissue removed from a recent detached retina operation. The doctor said he was going to put a buckle on his eye. What is that???
THANKS!
XXXXXXX XXXX
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
Procedure explained.

Detailed Answer:
Thanks for asking on HealthcareMagic.

Your husband's ophthalmologist seems to be referring to Scleral buckling for rhegmatogenous retinal detachment. A scleral buckle is performed in order to repair a retinal detachment by reestablishing the proximity of separated retina from its underlying tissue and not letting fluid accumulate in between. This is done by the inward indentation of the sclera from the exterior, creating a ridge (or buckle) that reduces the fluid underneath the tear and allows for the re-apposition of separated layers, thus reestablishing their physiologic connection. The sclera itself is most commonly indented by placement of a permanent explant with sutures, although temporary buckles have been used in variations. An acute retinal detachments is an ophthalmologic emergency that can rapidly progress to irreversible vision loss in the affected eye. Once secured, the normal physiologic and metabolic forces preventing separation may then maintain retinal attachment.

Hope that clarifies your doubt. Feel free to write back in case of further queries.

Regards
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Prof. Kunal Saha (7 days later)
I am fine My husbands eye is slowly returning to normal. I'm very worried about his vision returning to normal. Hoping and praying it does soon. Is there a length of time before his vision returns after scleral buckle surgery??
doctor
Answered by Dr. Prof. Kunal Saha (4 hours later)
Brief Answer:
Not predicable

Detailed Answer:
Thanks for writing back. I understand your apprehension but the situation is quite bleak. The answer to your question depends upon whether retinal detachment has occurred, if so, how long before the surgical apposition has been done. If there has been a significant time gap wherein the retina has been deprived of its blood supply, chances are that the lost vision may never return. This surgery takes a chance to revitalize portions of the retina that are still viable.

I hope you understand.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Does A Buckle On The Eye Before An Eye Surgery Mean?

Brief Answer: Procedure explained. Detailed Answer: Thanks for asking on HealthcareMagic. Your husband's ophthalmologist seems to be referring to Scleral buckling for rhegmatogenous retinal detachment. A scleral buckle is performed in order to repair a retinal detachment by reestablishing the proximity of separated retina from its underlying tissue and not letting fluid accumulate in between. This is done by the inward indentation of the sclera from the exterior, creating a ridge (or buckle) that reduces the fluid underneath the tear and allows for the re-apposition of separated layers, thus reestablishing their physiologic connection. The sclera itself is most commonly indented by placement of a permanent explant with sutures, although temporary buckles have been used in variations. An acute retinal detachments is an ophthalmologic emergency that can rapidly progress to irreversible vision loss in the affected eye. Once secured, the normal physiologic and metabolic forces preventing separation may then maintain retinal attachment. Hope that clarifies your doubt. Feel free to write back in case of further queries. Regards