Since this technique was introduced 2 years ago,1,2 further experiences have encouraged us to use this simplified method of scleral buckling in a wider variety of cases. Results have been sufficiently encouraging to warrant a further report.
Review of the Technique of Full Thickness Scleral Buckling
Prior to surgery an accurate drawing of the fundus is prepared, with careful attention to the topography of the retinal holes. The contemplated position of the scleral buckle is then superimposed on this drawing. In the ideal case, the buckle will pass around the equator of the globe, and all retinal tears will lie on the anterior slope of the buckle. The position of the buckle can be moved anteriorly or posteriorly as long as the encircling silicon rubber rodding passes over the greatest circle of the globe. Forward displacement is limited by the insertion of the rectus muscles. If a retinal tear