Our Summary

This research paper looks at how long it takes for the eye to stabilize after a specific type of eye surgery called scleral buckling (SB). This surgery is used to treat a condition where the retina detaches from the back of the eye. The researchers measured various aspects of the eye before the surgery and at different points after the surgery, up to a year later. They found that the length of the eye (AL) increased and the depth of the front part of the eye (ACD) decreased. There was also a shift towards myopia (short-sightedness). The AL of the eye stabilized after about 3 months, while the ACD and level of short-sightedness stabilized after about 1 week. The use of cryotherapy (a treatment using extreme cold) and more extensive surgery were associated with a bigger increase in the length of the eye and a bigger shift towards short-sightedness. The study suggests that if a patient needs cataract surgery after SB, measurements for the new lens should not be done earlier than 3 months after the SB surgery.

FAQs

  1. What is scleral buckling surgery and why is it performed?
  2. How long does it take for the eye to stabilize after scleral buckling surgery?
  3. According to the research, when should measurements for a new lens be taken if a patient needs cataract surgery after scleral buckling surgery?

Doctor’s Tip

A doctor might tell a patient about scleral buckle surgery that it is important to give the eye time to stabilize after the procedure. This means that changes in vision, such as increased length of the eye and shifts in nearsightedness, may occur in the weeks and months following surgery. It is recommended to wait at least 3 months before considering any additional eye procedures, such as cataract surgery, to allow for the eye to fully stabilize. Regular follow-up appointments with your ophthalmologist will help monitor any changes and ensure optimal healing.

Suitable For

Patients who are typically recommended for scleral buckle surgery are those who have a retinal detachment, which is a serious eye condition that can lead to permanent vision loss if not treated promptly. Retinal detachment can occur due to various reasons such as trauma, aging, or underlying eye conditions like myopia (nearsightedness). Scleral buckle surgery is often recommended for patients with a specific type of retinal detachment known as rhegmatogenous retinal detachment, where a tear or hole in the retina allows fluid to accumulate behind the retina, causing it to detach.

Patients who are good candidates for scleral buckle surgery typically have a detached retina that can be repaired using this surgical technique. The decision to recommend scleral buckle surgery is usually made by an ophthalmologist after a thorough evaluation of the patient’s eye condition. Factors that may influence the recommendation for scleral buckle surgery include the location and extent of the retinal detachment, the patient’s overall eye health, and the presence of any other eye conditions that may affect the success of the surgery.

Overall, patients who are recommended for scleral buckle surgery are those who have a retinal detachment that can be effectively treated with this surgical technique and who have a good prognosis for vision recovery. It is important for patients to discuss the risks and benefits of scleral buckle surgery with their ophthalmologist to determine if this procedure is the best option for their specific eye condition.

Timeline

Before Scleral Buckle Surgery:

  • Patient experiences symptoms of retinal detachment such as floaters, flashes of light, and a curtain-like shadow in their vision.
  • Patient undergoes a comprehensive eye examination to diagnose the retinal detachment.
  • Ophthalmologist recommends scleral buckle surgery as a treatment option.

After Scleral Buckle Surgery:

  • Immediately after surgery, patient may experience pain, discomfort, and blurry vision.
  • Patient is monitored closely by the ophthalmologist to ensure the retina is properly reattached.
  • Over the course of the following weeks, the eye begins to heal and vision gradually improves.
  • Patient may need to wear an eye patch or shield to protect the eye during the initial recovery period.
  • Follow-up appointments are scheduled to monitor the progress of the healing and to assess the stability of the retina.
  • Vision continues to improve over the next few months as the eye fully heals and stabilizes.
  • Patient may need additional procedures or treatments, such as cataract surgery, in the future depending on their individual case.

What to Ask Your Doctor

  1. What is the success rate of scleral buckle surgery for treating retinal detachment?
  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 long will it take for my vision to improve after the surgery?
  6. Will I need any follow-up appointments or additional treatments after the surgery?
  7. Are there any lifestyle changes I should make to support the healing process after scleral buckle surgery?
  8. How will scleral buckle surgery affect my future vision and eye health?
  9. Are there any alternative treatments to scleral buckle surgery that I should consider?
  10. Can you provide me with more information about the specific techniques and technologies you will be using during the surgery?

Reference

Authors: Wong CW, Ang M, Tsai A, Phua V, Lee SY. Journal: Am J Ophthalmol. 2016 May;165:47-53. doi: 10.1016/j.ajo.2016.02.023. Epub 2016 Mar 3. PMID: 26945723