Few surgical procedures have undergone more changes in the past ten years than those used for retinal detachment. No attempt will be made to review the numerous fine contributions. No one procedure can be used successfully in every detachment. The number and location of retinal tears, the general condition of the retina, vitreous traction and shrinkage, the transparency of the lens or aphakia, the state of the sclera—whether extremely thin or previously operated—all have a bearing on the type of operative procedure to be described.
Most of the cases I have seen are primary, and a great many have a single hole in the retina in the upper temporal quadrant, just temporal to the attachment of the superior oblique muscle. For more than six years I have attempted many ways to shorten the sclera and utilize the sclera instead of resecting it. The following procedure is not difficult, and for
KENNEDY JA. A Modified Scleral Buckling Procedure for Retinal Detachment. Arch Ophthalmol. 1964;71(6):839-841. doi:10.1001/archopht.1964.00970010855013