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September 1976

Limits of Constriction in the Treatment of Retinal Detachment

Author Affiliations

From the New York Hospital-Cornell Medical Center, New York (Drs Lincoff and Parver), and the Universitaets-Augenklinik, Bonn, West Germany (Dr Kreissig).

Arch Ophthalmol. 1976;94(9):1473-1477. doi:10.1001/archopht.1976.03910040307002

• A constricting silicone band was added to 13% of local sponge buckle operations in this series. The purpose was to relieve circumferential traction or to maintain a high buckle. The inclusion of a cerclage did not require drainage of subretinal fluid. The rate of reattachment without drainage (42 of 50 detachments) is comparable to what might be expected if the subretinal fluid had been drained. Constriction was controlled and limited to between 10% and 25% of the circumference of the eye. Anterior segment ischemia requiring relaxation of the band occurred in two patients; scleral erosion did not occur.

 Symposium on retinal detachment, SOCIETY TRANSACTIONS . Arch Ophthalmol 54:143-156, 1955.Article
Schepens CL, Okamura ID, Brockhurst RJ:  The scleral buckling procedures: I. Surgical techniques and management . Arch Ophthalmol 58:797-811, 1957.Article
Custodis E:  Bedeutet die Plombenaufnähung auf die Sklera einen Fortschritt in der operativen Behandlung der Netzhautablösung . Ber Dtsch Ophthalmol Ges 58:102-105, 1953.
Lincoff HA, Baras I, McLean J:  Modifications to the Custodis procedure for retinal detachment . Arch Ophthalmol 73:160-163, 1965.Article
Lincoff HA, McLean J:  Modifications to the Custodis procedure: II. A new silicone implant for large tears . Am J Ophthalmol 64:877-879, 1967.
Lincoff H, Ramirez V, Kreissig I, et al:  Encircling operations without drainage of subretinal fluid . Mod Probl Ophthalmol 15:188-196, 1975.
Lincoff H, Kreissig I:  The treatment of retinal detachment without drainage of subretinal fluid . Trans Am Acad Ophthalmol Otolaryngol 76:1221-1233, 1972.
Hamilton AM, Taylor W:  Controlled encircling procedure for retinal detachment . Br J Ophthalmol 56:695-699, 1972.Article