A narrow silicone sponge to close a wider retinal tear: the open-book technique of scleral buckling.

Abstract

The authors describe a modified technique for scleral buckling by which a wide retinal tear can be closed with a relatively narrow buckle. An incomplete cut on the silicone sponge can be made so that the halves are connected to each other by a narrow strip of material and opened like a book when buckling. Using this open-book technique, silicone sponges can be used to close horseshoe-shaped retinal tears of one to two times the width of available silicone sponges. This technique was used in four eyes with excellent anatomical results, and no complications could be attributed to the surgical technique. This technique provides an alternative treatment strategy for retinal detachment with relatively wide retinal tears.

• Authors: Yun-Hsiang Chang, Shu-I Pao, Ying-Jen Chen, Jiann-Torng Chen
• Journal: Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye (Ophthalmic Surg Lasers Imaging) 2011 May-Jun Vol. 42 Issue 3 Pg. 263-4 ISSN: 1938-2375 [Electronic] United States
• PMID: 21366186 (Publication Type: Journal Article)
• Copyright: Copyright 2011, SLACK Incorporated.

Chemical References

• Silicone Elastomers

Topics

• Humans
• Retinal Perforations (surgery)
• Scleral Buckling (methods)
• Silicone Elastomers
• Surgical Sponges
• Vitrectomy