Our Summary

This research paper is about a simple and safe surgical procedure called “suprachoroidal hydrogel buckling” used to treat a condition where the retina (the layer at the back of the eye that senses light) detaches from the rest of the eye. This surgery combines the benefits of two other procedures - a modern one that removes the jelly-like substance in the eye (vitrectomy) and a classic one that involves pushing the wall of the eye inward (buckling surgery). The procedure can be done on its own or along with vitrectomy. A substance called cross-linked hyaluronic acid, which the body can naturally break down over a two month period, is used in this technique. More research is needed to fully establish this procedure as a treatment for retinal detachment.

FAQs

  1. What is suprachoroidal hydrogel buckling and how does it help in treating rhegmatogenous retinal detachment?
  2. Can suprachoroidal buckling be performed in addition to vitrectomy?
  3. What is cross-linked hyaluronic acid and why is it suitable for suprachoroidal buckling?

Doctor’s Tip

One helpful tip a doctor might tell a patient about scleral buckle surgery is to follow all post-operative instructions carefully, including taking prescribed medications, attending follow-up appointments, and avoiding any strenuous activities that could put strain on the eye. It is important to keep the eye clean and protected during the healing process to ensure the best possible outcome.

Suitable For

Patients who are typically recommended scleral buckle surgery are those with rhegmatogenous retinal detachment. This type of retinal detachment occurs when a tear or hole in the retina allows fluid to accumulate underneath, causing the retina to detach from the back of the eye. Scleral buckle surgery is often recommended for patients with retinal detachments that are caused by a tear or hole in the retina, as it helps to seal the tear and reattach the retina to the back of the eye. Additionally, patients who have not responded well to other treatments such as laser therapy or pneumatic retinopexy may also be recommended for scleral buckle surgery.

Timeline

Before scleral buckle surgery:

  • Patient may experience symptoms of retinal detachment such as sudden flashes of light, floaters, and a curtain-like shadow over their vision.
  • Patient undergoes a comprehensive eye examination to confirm the diagnosis of retinal detachment.
  • Patient may undergo imaging tests such as ultrasound or optical coherence tomography to assess the extent of the detachment.
  • Patient may be advised to avoid strenuous activities and to keep their head in a certain position to prevent further detachment.

After scleral buckle surgery:

  • Patient is typically discharged home the same day of surgery.
  • Patient may experience some discomfort, redness, and swelling in the eye following surgery.
  • Patient is prescribed eye drops to prevent infection and promote healing.
  • Patient may need to wear an eye patch or shield for protection.
  • Patient is advised to avoid activities that could increase eye pressure, such as heavy lifting or straining.
  • Patient will have follow-up appointments with their ophthalmologist to monitor the healing process and assess the success of the surgery.

What to Ask Your Doctor

  1. What exactly is scleral buckle surgery and how does it work to treat retinal detachment?
  2. What are the risks and potential complications associated with scleral buckle surgery?
  3. How long is the recovery process after scleral buckle surgery and what can I expect during this time?
  4. Will I need to wear any special equipment or take any medications following the surgery?
  5. What is the success rate of scleral buckle surgery for treating retinal detachment?
  6. Are there any alternative treatment options to consider before undergoing scleral buckle surgery?
  7. How long will the effects of the surgery last and will I need any follow-up procedures in the future?
  8. Can you provide me with information about your experience and success rate with performing scleral buckle surgery?
  9. Are there any lifestyle changes or precautions I should take after the surgery to aid in the healing process?
  10. Are there any specific questions or concerns I should discuss with my eye doctor before undergoing scleral buckle surgery?

Reference

Authors: Boden K, Januschowski K, Szurman P. Journal: Ophthalmologe. 2018 Nov;115(11):967-971. doi: 10.1007/s00347-018-0771-4. PMID: 30120537