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August 1979

Removal of Scleral Buckles-Reply

Author Affiliations

Oakland, Calif

Arch Ophthalmol. 1979;97(8):1545. doi:10.1001/archopht.1979.01020020195033

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In Reply.—We were pleased to learn that Dr Dellaporta has arrived at a similar conclusion and are pleased to add his two references to our bibliography.

He does not state why he has followed the practice of interrupting the encircling silicone rod since 1963. We assume that this was done in an attempt to minimize the problem of postoperative intrusion. We believe that it is true that intrusion is more likely if the encircling element is very narrow. This was particularly true with the encircling polyethylene tube and we anticipate that it could also be a problem with a rod. For this reason, we propose the use of a wide, 4-mm, encircling silicone band. We have used such material for about nine years and there have been no problems of intrusion. Therefore, we feel that the routine interruption of the band at a later date is not indicated, but buckles

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