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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Related Experiment Video

Updated: Mar 16, 2026

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Successful scleral buckling of late-onset visual decrease in eye with retinal folds.

Yuri Nakayama1, Satoshi Katagiri1,2, Tadashi Yokoi1

  • 1Department of Ophthalmology and Laboratory for Visual Science, National Center for Child Health and Development, 2-10-1 Okura Setagaya-ku, Tokyo, Japan.

Documenta Ophthalmologica. Advances in Ophthalmology
|August 25, 2016
PubMed
Summary

Scleral buckling effectively treated radial retinal folds causing sudden vision loss. This surgical approach restored both retinal structure and function, offering a viable option for progressive cases.

Keywords:
Focal macular electroretinographyOptical coherence tomographyRetinal foldsScleral buckling

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Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Visual Impairment

Background:

  • Radial retinal folds (RFs) can cause late-onset, sudden visual decrease, particularly with foveal involvement.
  • Scleral buckling is a surgical technique used in retinal detachment repair.

Observation:

  • A case report details a patient with a superonasal retinal detachment and dislocated fovea experiencing sudden visual decline.
  • Preoperative assessments revealed foveal micro-dislocation, abnormal electroretinography (FM-ERG), and optical coherence tomography (OCT) findings.

Findings:

  • Encircling and radial scleral buckling was performed to address the radial retinal folds.
  • Postoperatively, best-corrected visual acuity (BCVA) improved significantly, alongside recovery of retinal function (FM-ERG) and structure (OCT).

Implications:

  • Simultaneous encircling and radial scleral buckling is a promising surgical option for late-onset progressive RFs.
  • This technique can restore both retinal structure and function, improving visual outcomes.