![]() In about 10% of patients scar tissue grows along the surface, within, or beneath the retina, causing the retina to detach. New or recurrent retinal detachments can arise because of new retinal breaks or persistent pulling by the vitreous gel on the retina. If the retinal detachment involves the macula, there may be irreversible loss or only partial recovery of vision, so the extent of visual improvement following surgery cannot be predicted preoperatively. If the macula was still attached before surgery, chances for good vision after surgery are very good. The macula is the central portion of the retina and is responsible for reading vision. Subretinal fluid is sometimes externally drained from the eye, and occasionally, sterile gas is injected into the eye to help hold the retina in position. ![]() This silicone piece causes indentation of the eye wall against the retinal breaks, which closes the retinal breaks and releases the inner traction caused by the vitreous. A solid silicone rubber band or piece is then sutured to the tough, white coat of the eye (the sclera). Liquid vitreous can flow through the breaks, and under the retina, causing separation from the eye wall causing a retinal detachment.ĭuring scleral buckle procedure, the retinal breaks are identified and treated with cryotherapy and/or laser. This results in a vitreous separation (vitreous detachment), which can be associated with traction and retinal breaks. The vitreous gel is firmly adherent to most of the retina at birth, but naturally liquefies over the years and shrinks away from the retina. The vitreous cavity contains a jelly-like substance called the vitreous gel. The retina is the light sensitive layer which lines the back 2/3 of the eye. Contact any of our locations to schedule an initial evaluation.Scleral Buckle Surgery is one of the techniques used for retinal detachment repair. Our ophthalmology clinic maintains outreach clinics in Rapid City, Pierre, Belle Fourche, and Spearfish SD as well as Chadron, NE. The skilled eye surgery specialists at Slingsby and Huot Eye Care Associates can evaluate your retinas, advise you on the proper course of treatment, and perform scleral buckle surgery if necessary. Your eye doctor may also tell you to avoid high-altitude travel or activities since higher altitudes can increase internal eye pressure. During this recovery period, you should avoid strenuous activities. A certain amount of redness and discomfort normally lingers for one to two weeks. You'll also wear a protective eye patch for a couple of days. Immediately following this type of retinal surgery, you'll receive a topical antibiotic to prevent postoperative infections. During the procedure, the eye surgeon will also inspect the retina and then use freezing or other techniques to repair tears or other damage. (In either case, you should arrange for transportation home in advance.) After numbing the eye, your eye surgeon will open the conjunctiva and install the scleral buckle around the eyeball. Scleral buckle surgery usually counts as an outpatient procedure, whether you receive local or general anesthesia. What to Expect from Scleral Buckle Surgery This scleral buckle gently pushes the wall of the eye toward the retina, helping the retina reattach. In this procedure, the eye surgeon places a band called a scleral buckle around the sclera, just under the outermost membrane known as the conjunctiva. Scleral buckle surgery can reverse retinal detachment if you seek help for your visual symptoms promptly. Symptoms of a detached retina include annoying flashes and floaters, blurred vision, and a dark veil over part of your visual field. If part of the retina detaches from the eye, it can no longer perform this crucial job. The retina's light-sensitive cells collect visual information and send it through the optic nerve to the brain's vision center. The human eye consists of several components, from the outer sclera or white of the eye to the retina that lines the rear of the eye. If you seek scleral buckle surgery in or around Rapid City SD, Slingsby and Huot Eye Care Associates can provide it. Fortunately, modern ophthalmology can prevent this outcome with various forms of retinal surgery, including scleral buckle surgery. When the light-collecting retina inside the eye detaches, it can interfere with normal vision or even cause permanent blindness.
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