Our Summary

This research paper explains a new surgical method to correct misaligned eyes (strabismus) in patients who have previously undergone a specific type of eye surgery involving a scleral buckle (a silicone band placed around the eye). The new technique allows for the use of adjustable stitches (sutures) without having to remove or alter the scleral buckle.

FAQs

  1. What is the surgical technique described for performing strabismus surgery in patients with a scleral buckle?
  2. Can adjustable sutures be used in the surgical technique without removing or modifying the exoplant?
  3. What is a scleral buckle and how is it involved in strabismus surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about scleral buckle surgery is to follow post-operative instructions carefully, including taking prescribed medications, avoiding strenuous activities, and attending follow-up appointments to ensure proper healing and optimal results. It is also important to report any unusual symptoms or concerns to the doctor promptly.

Suitable For

Scleral buckle surgery is typically recommended for patients with retinal detachments or tears. This procedure involves the placement of a silicone band or sponge around the eyeball to support the retina and reattach it to the wall of the eye. Patients with retinal detachments caused by trauma, high myopia, or other factors may benefit from scleral buckle surgery to prevent further vision loss and complications.

Timeline

Before Scleral Buckle Surgery:

  • Patient undergoes a comprehensive eye examination to determine the extent of retinal detachment and assess overall eye health
  • Surgery is scheduled and patient is advised to avoid eating or drinking for a certain period of time prior to the procedure
  • Patient may be prescribed medication to reduce inflammation and prevent infection before surgery

During Scleral Buckle Surgery:

  • Patient is given anesthesia to numb the eye and surrounding area
  • Surgeon makes small incisions in the eye and places a silicone or plastic band around the eye to secure the retina in place
  • If necessary, laser or cryotherapy may be used to seal any tears in the retina
  • Surgery typically takes a few hours to complete

After Scleral Buckle Surgery:

  • Patient may experience temporary discomfort, redness, and swelling in the eye
  • Patient is usually prescribed eye drops to prevent infection and reduce inflammation
  • Follow-up appointments are scheduled to monitor healing and ensure the retina remains in place
  • Patient may be advised to avoid strenuous activities and heavy lifting for a certain period of time
  • Vision may be blurry initially but should improve as the eye heals

Overall, scleral buckle surgery is generally considered a safe and effective treatment for retinal detachment, with most patients experiencing improved vision and reduced risk of further detachment after the procedure.

What to Ask Your Doctor

  1. What is the purpose of scleral buckle surgery for my condition?
  2. What are the potential risks and complications associated with scleral buckle surgery?
  3. How long is the recovery period after scleral buckle surgery?
  4. Will I need to wear any special eye protection or take any medications after the surgery?
  5. How will the surgery affect my vision and overall eye health in the long term?
  6. Are there any alternative treatment options to consider before proceeding with scleral buckle surgery?
  7. How experienced are you in performing scleral buckle surgery, and what is your success rate with this procedure?
  8. Will I need any follow-up appointments or additional procedures after the surgery?
  9. What can I expect in terms of pain and discomfort during and after the surgery?
  10. Are there any specific lifestyle changes or precautions I should take before and after scleral buckle surgery?

Reference

Authors: Kim A, Nejad M, Pineles S, Chang M, Velez F. Journal: J AAPOS. 2016 Aug;20(4):376-378.e1. doi: 10.1016/j.jaapos.2016.03.007. Epub 2016 Apr 27. PMID: 27132139