Scleral buckling is one of the most trusted and time-tested surgical treatments for retinal detachment. Even though modern retina surgeries have advanced tremendously, this procedure still remains one of the safest and most effective options for many patients. If you or your loved one has been advised scleral buckling, understanding the procedure can help you feel more confident and prepared.
What Is Scleral Buckling Surgery?
Scleral buckling is an eye surgery used to repair a retinal detachment, a condition where the retina gets pulled away from its normal position. When the retina detaches, it can cause sudden floaters, flashes of light, dark shadows, or permanent vision loss if not treated quickly.
In scleral buckling, the surgeon places a soft silicone band or sponge on the outer white layer of the eye (the sclera). This gently pushes the eye wall inward to close the tear and help the retina reattach.
Why Is Scleral Buckling Needed?
Your doctor may recommend scleral buckling when:
- The retinal tear is caused by thinning or degeneration
- There are multiple retinal breaks
- The patient is young, especially with flexible vitreous
- The detachment is caused by trauma
- Gas-based surgeries (like vitrectomy) are not suitable
The main goal is to seal the tear and relieve the pull that caused it.
How the Surgery Works
1. Local or General Anaesthesia
Depending on age, extent of detachment, and comfort level, the surgery is done under local or general anesthesia.
2. Identifying the Retinal Tear
The surgeon examines the retina and locates all breaks or weak areas.
3. Applying Cryotherapy or Laser
Cold therapy (cryotherapy) or laser is used around the tear to create a scar that seals the retina.
4. Placing the Buckle
A silicone band or sponge is stitched onto the sclera.
It stays permanently but does not affect the look of the eye.
5. Fluid Removal (If Needed)
Sometimes excess fluid under the retina is drained to help the retina settle.The procedure usually takes 45 minutes to 1.5 hours, depending on complexity.
Recovery After Scleral Buckling Surgery
Recovery varies from person to person, but here’s what most patients experience:
1. Mild Pain or Discomfort
Some soreness or heaviness is common for a few days.
2. Blurred Vision
Vision takes weeks to months to stabilize. Improvement is gradual.
3. Use of Eye Drops
Your doctor will prescribe antibiotic and anti-inflammatory drops for healing.
4. Activity Restrictions
- No heavy lifting
- Avoid rubbing the eye
- Protect from dust and water
- Follow doctor’s advice on sleeping positions if needed
5. Follow-up Visits
Regular check-ups are important to ensure the retina remains attached.
Risks and Possible Complications
Scleral buckling is safe, but like any surgery, it has some risks:
- Increased eye pressure
- Infection
- Temporary double vision
- Refractive changes (needing new glasses)
- Rarely, recurrence of retinal detachment
With timely care and an experienced retina specialist, these risks remain low.
Benefits of Scleral Buckling Surgery
- Long-term success for many types of retinal detachment
- Effective even in young patients
- Preserves the natural vitreous of the eye
- High success rate when combined with early diagnosis
It is especially helpful when the detachment is caused by traction or multiple tears.
Who Is a Good Candidate?
Your doctor may choose scleral buckling if you have:
- A retinal tear with surrounding detachment
- Retinal thinning or lattice degeneration
- Detachment caused by trauma
- Detachment caused by sudden vitreous pull
- No significant cataract or vitreous problems
Sometimes it is combined with vitrectomy for better results.
How Long Does the Buckle Stay in the Eye?
The buckle is permanent, but it doesn’t cause any discomfort.
Most people forget it is there, and it usually never needs removal.
Conclusion
Scleral buckling surgery is a reliable and effective way to save vision when the retina detaches. With early diagnosis and the right surgical approach, most patients recover well and regain functional vision.If you or your family member is experiencing sudden floaters, flashes, or shadowed vision, consult an experienced retina surgeon in Indore right away. Timely treatment makes all the difference in preserving sight.
