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Scleral buckling surgery is the most common way to treat a retinal detachment. In this procedure a piece of silicone or sponge is sewn onto the sclera at the site of a retinal tear which pushes the sclera toward the retinal tear. This buckle supports the retina against the sclera till the scarring seals the tear. Fluid leakage is also prevented thus avoiding further retinal detachment. Scleral buckling is effective in supporting a tear, hole, or break in the retina that has caused the detachment. It is rarely helpful on its own when scar tissue tugging on the retina has caused the detachment
A scleral buckle is a piece of silicone sponge, rubber, or semi-hard plastic that is sewn into place on the outside of the eye. The buckling element is usually left in place permanently. This pushes in, or "buckles," the sclera toward the middle of the eye thus relieving the pull on the retina, allowing the retinal tear to settle against the wall of the eye. The buckle effect may cover only the area behind the detachment, or it may encircle the eyeball like a ring. This does not prevent a retinal break from opening again. Cryopexy, diathermy or laser photocoagulation is used to scar the retina and hold it in place until a seal forms between the retina and the layer beneath. The seal holds the layers of the eye together thus preventing fluid from getting between them.
A gas bubble can also be injected into your eye to flatten the retina.
This procedure is done in a hospital as an out patient procedure. A local or general anesthesia may be used. Both the eyes may be patched to keep the detachment from spreading. Eyedrops mayb be used to have the pupils dilated. The procedure typically takes 1 to 2 hours.
The associated risks with this procedure are
Pain will be there for a few days after the surgery with tenderness and swelling for a few weeks. Eye drops would be used to prevent infection and to avoid the pupil from dilating or constricting. The eye would be kept covered with an eye patch for a day or more.
The other Ophthalmology Procedures are
Few Major Hospitals for Scleral buckling surgery are
Thailand, Malaysia, Singapore, Turkey and India are the most cost effective locations that offer up to almost 80% savings in comparison to the US.
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