In some cases the fluid between the retina and choroid may be drained or gas/ air injected into the eyeball ensuring faster attachment. Despite stiff competition from pars plana. As the sutures are tightened the sclera folds inward and is brought closer to the retina. Scleral buckles have been successfully used to repair rhegmatogenous retinal detachments for the past 60 years. A scleral band/tyre (scleral buckle element) is sutured on to the sclera in the area of the tear/ hole. Cryotherapy is done over this area to cause scarring and thereby promote adhesion of the detached retina to the choroid. Scleral buckles are wrapped around the eye in the treatment of retinal detachment to indent the sclera to bring the choroid in contact with the retina.

The conjunctiva (outer transparent covering of the eyeball ) is incised and the causative tear/ hole in the retina is identified and marked. General anaesthesia is preferred in small children.Local anaesthetic is injected and in select cases a mild sedation.Scleral buckling indents the sclera and the overlying choroid retinal. During this time, you'd better not use the eyes too. After the detached retinal surgery, your eyes will get the basic recovery for about a month. Your eyes should be closed to have a good rest for a while. You should not drive right now after the detached retinal surgery. A complete detailed evaluation of the retina will be done by the surgeon. Scleral buckle surgery is indicated for uncomplicated rhegmatogenous retinal detachments. I think it will take you about 3 months before you are ok to drive a car.As long as the bubbles move around in the eye the same way as the bubble was moving previously, that generally would be fine. They can also coalesce again into a single bubble. It is the preferred treatment choice in simple retinal detachments and in young people where vitrectomy is more difficult Sometimes when the bubbles dissipate inside the eye, they can break up into smaller bubbles.

If required the buckle element can be repositioned if the primary surgery does not result in apposition.The postoperative visual recovery is faster.It has a lesser risk of cataract progression compared to vitrectomy.Scleral buckling is an extra ocular procedure.Untreated, a retinal detachment can lead to permanent blindness. Scleral buckle where the outer layers and brought towards the retina or vitrectomy wherein the retina is brought towards the outer layers. The retain can surgically be opposed to these layers by two procedures. Retinal detachment occurs when there is a tear / hole in the retina through which the liquified vitreous gel seeps through ,cleaving the retina form the underlying layers/ coats of the eyeball.

Band around eye after retina surgery