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December 1960

Scleral Buckling Procedures: V. Synthetic Sutures and Silicone Implants

Author Affiliations

From the Retina Foundation, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary.

Arch Ophthalmol. 1960;64(6):868-881. doi:10.1001/archopht.1960.01840010870007

The methods of scleral buckling as described in previous articles of this series1-4 have been used successfully in more than 2,000 cases. Particularly gratifying were many instances in which good results were obtained after other methods had failed. In our opinion, scleral buckling with a polyethylene tube often brings about reattachment of the retina when either diathermy alone or a lamellar scleral resection most certainly would fail.

In spite of their advantages, these methods still have certain limitations, and efforts are constantly being made to improve them Many modifications of technique have been evolved and tested with varying degrees of success. At the present time we feel that polyester fiber sutures and silicone rubber implants contribute significantly to the efficacy of the scleral buckling procedures and deserve discussion.

Polyester Fiber Sutures  Experience has shown that silk sutures sometimes cause sterile abscesses or granulomas as they disintegrate in the orbital

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