To the Editor.
—The article in the March Archives (1983;101:434-435) by Robinson and Landers entitled "Simplified Technique for Placement of Watzke's Sleeve in Scleral Buckling Procedures" was practical, descriptive, and beautifully illustrated. I have used a similar procedure during the last 2½ years and likewise have found the technique extremely helpful.One useful variation I have found is to cut a bevel orientated in the same direction on each end of the band before it is passed under the muscles. Keeping both bevels facing anteriorly as they are passed and checking the orientation of the bevel before and after joining the ends with the Watzke's sleeve will prevent twisting the band.Twists in the bands are not always obvious but can have detrimental effects on retinal detachment surgery if not detected and corrected. Robinson and Landers described a rotation of the Nugent's forceps to release the band inside the Watzke's
Poer DV. Scleral Buckling Procedures. Arch Ophthalmol. 1983;101(12):1950. doi:10.1001/archopht.1983.01040020952030