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REVIEW ARTICLE
Year : 2017  |  Volume : 55  |  Issue : 4  |  Page : 286-292

Scleral buckling: Principles, utility, and relevance today


MV Eye Hospital, Coimbatore; JB Eye Hospital, Salem, Tamil Nadu, India

Correspondence Address:
Dr. V G Madanagopalan
MV Eye Hospital, Ramnagar, Coimbatore, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_22_18

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With time, any surgical specialty or procedure invariably undergoes change. New techniques and technologies become available and the next generations of surgeons innovate to modify established methods. The surgical management of retinal detachment has come a long way from the days of Custodis and Schepens. Scleral buckling (SB), which was once the “gold standard” when reattachment of the retina was desired, no longer enjoys the coveted standing of yore. Despite being in use for more than six decades, the many “modifications” of this surgical procedure are rather superficial - although some may argue that the procedure itself is superficial - and the original surgical principles described have remained constant. In this article, we focus on the utility of buckling, the dynamic physical forces at work when a buckle attempts to reattach the retina and the role of SB in this era of microincision surgeries.


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