This surgery is
performed in the hospital as an outpatient procedure and takes about one
hour. Local or general anesthesia may be used during this procedure. During a
scleral buckling procedure, a small piece of silicone rubber is sewn to the
outside of the eye to indent the eyeball and allow the retina to reconnect. This
small piece of silicone is permanent, however, it is placed far back on the eye
where it is not visible. Sometimes a small bubble of gas or air is injected into
the eyeball to help keep the retina against the nourishing bed. This helps hold
the retina in place, giving it time to heal. During this procedure a freezing (cryopexy),
probe is used to seal the tear or hole that is the source of the detachment
There are several treatments available to repair retinal detachments. Only your
doctor can determine which treatment is best for you. In many cases, a scleral
buckling procedure will be recommended.
Recovery is about six weeks and the patient will have some restrictions
afterwards. Frequent follow up visits are necessary and eye drops will be
prescribed to help prevent infection and inflammation.
Depending on the extent of the detachment, visual recovery may take up to three
months and a change in glasses prescription may be necessary, as the buckle will
change the shape of the eyeball.