Primary Retinal Detachment

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6 Minimal Segmental Buckling With Sponges and Balloons
Fig. 6.9. Lincoff-Kreissig Balloon. The presented balloon has (1) a metal
stylette to facilitate insertion into the parabulbar space and (2) calibrations
(black marks) on the tube to enable a more precise determination of
the position of the balloon in the parabulbar space. Top: Deflated balloon
catheter with stylette in place; beneath it the adapter. Bottom: Inflated balloon
(0.75 ml of sterile water) with self-sealing valve in place; beneath it
the withdrawn stylette
Temporary Balloon Buckle Without Drainage
To reduce the surgical trauma of minimal segmental buckling
without drainage even further, in 1979, Lincoff, Hahn, and Kreissig
[36] replaced the segmental sponge sewed onto sclera by a temporary
buckle. Subsequently the Lincoff-Kreissig balloon evolved
(Fig. 6.9) [37, 38]. In contrast to the sponge buckle, (1) the application
of the balloon buckle is limited to detachments with one break
or a group of breaks within one clock hour, (2) the balloon is not
fixated by sutures, and (3) it is withdrawn after 1 week. The rationales
for removing the balloon after 1 week were the results of our