[Prevention of spontaneous scleral perforation during repeated surgery for regmatogenic retinal detachment]

Scleroplastic operations, such as circlage, filling, and their combination widely used in modern surgery so far, have a variety of advantages; however, their drawbacks may also cause severe complications. Among them, there is scleral decubitus (erosion) that is detectable at resurgery when the retina has failed to adjoin after the first operation or when recurrent retinal detachment has developed. The occurrence of this complication makes it impossible to perform an adequate pressing-in due to the fact that spontaneous scleral perforation may occur, which makes it necessary to conduct scleroplasty in this area. For this situation, the authors propose a procedure for surgically treating retinal detachment during re-interventions, which makes it possible to prevent spontaneous scleral perforation, to diminish surgical traumaticity, and to perform a necessary adequate pressing-in for blocking ruptures of the retina with its subsequent adjoining.