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Related Experiment Video

Updated: Jan 23, 2026

Scleral Cross-linking Using Riboflavin and Ultraviolet-A Radiation for Prevention of Axial Myopia in a Rabbit Model
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Peritomy-sparing scleral buckle.

Juan B Yepez1,2, Felipe A Murati1, Michele Petitto3

  • 1Vitreoretinal Surgery Department, Clinica de Ojos, Maracaibo, Venezuela.

American Journal of Ophthalmology Case Reports
|June 14, 2019
PubMed
Summary
This summary is machine-generated.

A new technique for scleral buckling without peritomy achieved 100% success in repairing rhegmatogenous retinal detachment (RD). This minimally invasive approach preserves ocular anatomy and offers an attractive option for surgeons.

Keywords:
Minimal incisionPeritomy sparingRhegmatogenous retinal detachmentScleral belt loopScleral buckle

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Area of Science:

  • Ophthalmology
  • Retina Surgery
  • Surgical Techniques

Background:

  • Rhegmatogenous retinal detachment (RD) is a condition requiring prompt surgical intervention.
  • Traditional scleral buckling surgery can involve extensive conjunctival dissection.

Purpose of the Study:

  • To describe a modified encircling circumferential scleral buckling technique without peritomy.
  • To evaluate the efficacy and safety of this modified technique for rhegmatogenous RD repair.

Main Methods:

  • The technique involved a small conjunctival incision (5-6 mm) in four quadrants without peritomy.
  • Encircling silicone bands were used, followed by drainage, cryopexy, and SF6 tamponade.
  • The procedure was performed on 10 eyes with primary rhegmatogenous RD.

Main Results:

  • 100% primary retinal reattachment success was achieved in a single procedure.
  • The most common complication was subconjunctival hemorrhage (50% of eyes), which resolved postoperatively.
  • No significant distortion of ocular surface anatomy was reported.

Conclusions:

  • A modified scleral buckling technique with minimal conjunctival incision and no peritomy is effective for rhegmatogenous RD.
  • This approach achieves excellent anatomical success while preserving corneal limbus anatomy.
  • The technique presents a potentially more attractive surgical option for retina surgeons.