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May 1984

Retinal Detachment

Author Affiliations

Genova, Italy

Arch Ophthalmol. 1984;102(5):662. doi:10.1001/archopht.1984.01040030522001

To the Editor.  —In the April 1983 Archives Lindsey et al1 reported that an unplanned buckle removal resulted in a 43% rate of retinal redetachment in patients operated on for a retinal detachment. Other similar series report an even lower redetachment rate (from 40% to 33%).2,3 It may therefore be inferred that a permanent buckle is not needed to achieve the cure of a large number of retinal detachments.We read these reports with a great interest, since in 1978 we developed a method of temporary buckling for the management of retinal detachments with a single break.4The method essentially consists in cryocoagulating the break and indenting it transconjunctivally by means of a metallic plaque fixed to a ring. The ring is fixed to the eyeball by two polyester stitches passed radially through the sclera near the limbus and is held in place eight to 10 days,