What is Scleral Buckle Surgery?
Scleral buckle surgery is a procedure to repair retinal detachments by placing a flexible band around the eye to provide external support. This helps push the wall of the eye against the detached retina, allowing it to reattach properly.
How It Works
Flexible Band Placement
A soft, flexible silicone band is placed around the eye beneath the muscles
External Pressure
The band applies gentle pressure to push the eye wall toward the detached retina
Retinal Reattachment
This allows the retina to settle back into its proper position against the eye wall
Additional Procedures
Often combined with laser therapy or gas injection for optimal results
Who Needs This Surgery?
Common Indications:
- Rhegmatogenous retinal detachment (tear-related)
- Multiple retinal tears
- Large retinal detachments
- Detachments in the lower part of the retina
- Recurrent retinal detachments
Important Note
Your surgeon will determine if scleral buckle is the best option based on the location, size, and type of your retinal detachment.
What to Expect
Before Surgery
- Comprehensive eye examination
- Detailed retinal mapping
- Medical history review
- Pre-operative instructions
- Anesthesia consultation if needed
During Surgery
- Local or general anesthesia
- Procedure typically takes 1-2 hours
- Outpatient surgery (same-day discharge)
- Minimal discomfort during procedure
After Surgery
- Eye patch for first 24-48 hours
- Prescription eye drops to prevent infection
- Activity restrictions for several weeks
- Regular follow-up appointments
- Gradual vision improvement over weeks to months
Recovery Timeline
First Week
Rest, eye drops, follow-up visit
2-4 Weeks
Gradual activity increase, continued monitoring
1-3 Months
Vision stabilization, return to normal activities
3-6 Months
Final visual outcome, long-term monitoring
Potential Risks
- • Infection (rare)
- • Bleeding
- • Changes in eye pressure
- • Double vision (usually temporary)
- • Need for additional surgery
- • Changes in eye shape or vision
Your surgeon will discuss all risks and benefits specific to your case.
Post-Operative Care Instructions
Do's
- Use prescribed eye drops as directed
- Keep the eye clean and dry
- Attend all follow-up appointments
- Rest and avoid strenuous activity
- Sleep with your head elevated
- Wear protective eyewear when recommended
- Contact us immediately if you notice problems
Don'ts
- Don't rub or touch the operated eye
- Don't lift heavy objects (over 10 lbs)
- Don't bend over or strain
- Don't get water in the eye for 1 week
- Don't drive until cleared by your doctor
- Don't skip medications or appointments
- Don't ignore warning signs
⚠️ When to Call Immediately
- Sudden vision loss or significant decrease
- Severe eye pain not relieved by medication
- Signs of infection (increased redness, discharge)
- Flashing lights or new floaters
- Curtain or shadow in your vision
- Persistent nausea or vomiting
- Fever over 101°F
- Any concerns about your recovery
Emergency Contact: (574) 366-0554
Available 24/7 for post-surgical emergencies
Frequently Asked Questions
Will I feel the buckle in my eye?
Most patients do not feel the buckle once healing is complete. Initially, you may notice some fullness or pressure, but this typically resolves within a few weeks.
How long will the buckle stay in place?
The scleral buckle is typically permanent and provides long-term support for your retina. Removal is rarely necessary unless complications occur.
When will my vision improve?
Vision improvement can take weeks to months. Some patients notice improvement within days, while others may take several months to achieve their best possible vision.
Can I travel after surgery?
Air travel should be avoided for at least 2 weeks after surgery, or longer if a gas bubble was used. Always check with your surgeon before making travel plans.
Questions About Scleral Buckle Surgery?
Our team is here to help you understand your treatment options and recovery process.
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