Primary Retinal Detachment

How Buckling Was Modified in One Practice 45
Fig. 3.6. Example of routine encircling and drainage: The eye was buckled
with a 7-mm explant for the entire extent of the detachment. Drainage
was made near a rectus muscle in the bed of the buckle. A 2.5-mm band
was used to encircle the eye to barricade undetected breaks
breaks were located at a latitude 13–14 mm posterior to the limbus,
detected, undetected and anticipated future breaks would be
covered.
How Buckling Was Modified in One Practice
The author reviewed his last 100 scleral buckling procedures
comprising his personal experience at the Harkness Eye Institute
between 2000 and 2003. Encircling was done in 17%, drainage in
6%, and air was injected in 11%. Gas was not used. The detachments
extended one quadrant in 14%, two quadrants in 45%, three quadrants
in 35% and four quadrants in 6%. The detachments averaged
2.3 quadrants as opposed to 2.9 quadrants at Wills Eye Hospital.