Primary Retinal Detachment

Dis-/Advantages of Primary Minimal Segm. Buckling Without Drainage 135
study. When a retinal break is not obvious, intensive biomicroscopic
study of the peripheral retina can be time-consuming,
but is necessary.
2. A prerequisite for minimal segmental buckling without drainage
is having experience in indirect ophthalmoscopy and biomicroscopy
to be able to find all of the breaks.
3. Experience with the special guidelines (the 8 Rules) and indirect
wide-field contact lenses can help the biomicroscopic search for
small breaks in a pseudophakic eye [19, 20–22, 51].
4. There is a learning curve to localizing posterior breaks in a
bullous detachment and buckling them adequately without
drainage of subretinal fluid.
5. If a radial sponge is placed in the area of a rectus muscle, diplopia
may occur. But diplopia can be averted with the use of a
temporary balloon for breaks located beneath a rectus muscle.
6. Exposure or infection of the sponge buckle can occur, but is
infrequent and ranges at