What is scleral buckling?
Scleral buckling is a type of eye
surgery to fix a detached retina and restore vision.
The retina is a layer of cells at
the back of your eye. These cells use light to send visual information to your brain.
Retinal detachment happens when part or all of your retina detaches from the back
wall of your eye. When that happens, your retina does not work normally. Vision is
in all or part of your retina. If not treated right away, it can cause lifelong
(permanent) vision loss.
Your eye surgeon may do scleral
buckling under local or general anesthesia. During this surgery, your eye surgeon
expose your eyeball. He or she may use a freezing tool to help seal your retina back
together. After that, your surgeon may use a small device (scleral buckle) to hold
retina in place.
Why might I need scleral buckling?
Certain factors make it more likely that you will have a retinal detachment. These
Most of the time, the retinal
detachment happens suddenly on its own. But in rare cases, an eye injury can cause
If you have a retinal detachment,
you will likely need some sort of surgery. You might have an increase of floaters
your eye. These look like little specks or cobwebs that float in your field of vision.
These floaters can be so dense that they impair your vision. You might also have light
flashes in your eye or a curtain over your field of vision.
If you have these symptoms, you may
need an emergency surgery to reattach the retina. This can restore your vision.
Eye care providers sometimes treat
retinal detachment with a less invasive procedure called pneumatic retinopexy. This
procedure can't treat all types of retinal detachments. If you have a complex retinal
detachment, you may also need another surgery called a vitrectomy. All of these methods
can successfully fix a detached retina. Ask your eye care provider about the benefits
and risks of all your treatment choices.
What are the risks of scleral buckling?
Most people do well with scleral
buckling surgery. But complications do sometimes happen. Your risks may depend on
age, your health conditions, and the specifics of your retinal detachment. Risks of
A scar forms on or under the retina,
causing another retinal detachment (proliferative vitreoretinopathy)
Detachment of the eye layer under your
retina (the choroid)
Bleeding in your eye
Increased pressure in your eye
New retinal tears
There is also a risk that a retinal detachment will come back and that you will need
How do I get ready for scleral buckling?
Ask your eye care provider what you
need to do to get ready for scleral buckling surgery. Ask if you need to stop taking
medicines before the procedure. Follow any directions you are given for not eating
drinking before the surgery.
Your eye care provider may want to
use special tools to shine a light in your eye and check your retina. You will need
have your eyes dilated for your eye exam. You also might have an ultrasound of your
This helps your eye care provider see the retinal detachment.
What happens during scleral buckling?
Talk with your eye surgeon about
what to expect during your surgery. The details may vary a bit. The surgery will be
in an operating room. In general, during the procedure:
You may be given sleep medicine
(anesthesia) to put you to sleep. If this is the case, you will sleep deeply during
the surgery. You won't remember it afterwards.
In other cases, you may be awake
during the surgery. You will be given a medicine to help you relax. In this case,
your eye care provider will use an injection to make sure you don't feel
Your eye care provider will give you
eye drops to dilate your eye.
Your surgeon will expose your eye,
making a cut (incision) in the outer layer of your eye.
Your surgeon will use a special tool
(ophthalmoscope) to view your retina.
Your surgeon will use a device to seal
your retina back together. In most cases, your surgeon will do this with a freezing
device that seals the retina to the inner wall of the eye.
Your surgeon will place a very small
band (buckle) around the outside of your eye. This helps to make sure that your
retina stays in place.
Some fluid may be drained from under
An antibiotic ointment may be applied to your eye to help prevent infection.
You will be given a patch to cover up
What happens after scleral buckling?
Ask your eye care provider about
what you should expect after your surgery. In most cases, you will be able to go home
the same day. Plan to have someone drive you home.
Follow your healthcare provider’s
instructions about eye care. You may need to take eye drops with antibiotics to help
prevent infection. Your eye may be a little sore after the procedure. But you should
able to take over-the-counter pain medicines as directed. You may need to wear an
patch for a day or so.
You will need close follow-up care
with your surgeon to see if the procedure was effective. You may have a scheduled
appointment the day after the procedure. Tell your surgeon right away if you have
reduced vision, or more pain, or swelling around your eye. If the procedure does not
work, you may need to have another surgery.
Before you agree to the test or the procedure make sure you know:
The name of the test or procedure
The reason you are having the test or procedure
What results to expect and what they mean
The risks and benefits of the test or procedure
What the possible side effects or complications are
When and where you are to have the test or procedure
Who will do the test or procedure and what that person’s qualifications are
What would happen if you did not have the test or procedure
Any alternative tests or procedures to think about
When and how will you get the results
Who to call after the test or procedure if you have questions or problems
How much will you have to pay for the test or procedure