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View 1: Minimal segmental buckling without drainage

Series editors: Susan Lightman and Peter McCluskey

¹ Univ-Augenklinik, Theodor-Kutzer-Ufer 1–3, 68187 Mannheim, Germany; ingrid.kreissig@augen.ma.uni-heidelberg.de

The first 150 words of the full text of this article appear below.

Scleral buckling involves either an encircling buckle, called cerclage, extending over the entire periphery of the retina with drainage of subretinal fluid or, as refinement, a segmental buckle (elastic sponge) extending over the area of the retinal break(s) and performed without drainage. The latter surgery is called "minimal segmental buckling" (MSB) and represents an extraocular technique for the repair of rhegmatogenous retinal detachments.¹ The elasticity of the sponge buckle makes it possible to eliminate drainage of subretinal fluid. The buckle and coagulation therapy, either cryopexy or laser, are limited to the area of the break(s). Consequently, it is of utmost importance to identify the break(s) and to position the buckle in the correct location. A further refinement of MSB is the balloon procedure, in which the segmental buckle is a temporary balloon which is not sutured onto the sclera and is withdrawn after a week. A Medline search identified . . . [Full text of this article]