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Minimally Invasive Segmental Scleral Buckle as Primary Surgery for the Repair of Rhegmatogenous Retinal Detachment: A
Supanji Supanji1,2,3, Dewi Fathin Romdhoniyyah1,2, Hifdza Faza Felisha1
1Department of Ophthalmology, Faculty of Medicine Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia, ugm.ac.id.
Case Reports in Ophthalmological Medicine
|July 25, 2026
Summary
Segmental scleral buckling (SSB) effectively treated rhegmatogenous retinal detachment (RRD) in seven patients, achieving a 100% reattachment rate with no complications. This targeted approach offers a viable option for specific RRD cases.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Rhegmatogenous retinal detachment (RRD) management often involves scleral buckling (SB) or encircling buckle techniques.
- Encircling buckle techniques are effective but time-consuming and carry risks like anterior segment ischemia.
- Segmental scleral buckling (SSB) offers a more targeted and technically straightforward alternative for RRD repair.
Purpose of the Study:
- To evaluate the anatomical and functional outcomes of segmental scleral buckling (SSB) in patients with RRD.
- To assess the safety and efficacy of SSB as a primary treatment for RRD.
Main Methods:
- A consecutive case series of seven patients with primary RRD treated with SSB.
- Postoperative follow-up at 1 and 6 months to assess buckle positioning, retinal reattachment, and complications.
Main Results:
- All seven patients achieved satisfactory buckle positioning and height.
- Retinal detachments resolved within 24 hours in all cases.
- A 100% reattachment rate was observed at 6 months, with no surgical complications or redetachments.
Conclusions:
- Segmental scleral buckling (SSB) demonstrated favorable anatomical and functional outcomes in this RRD case series.
- SSB is a safe and effective primary treatment option for selected RRD cases, especially in resource-limited settings.
- Further multicenter studies are recommended to confirm these findings and assess generalizability.
