[The importance of scleral buckling based on an example]

The importance of the scleral buckling technique without vitrectomy is discussed with reference to a patient with aphakia, myopia and morning-glory redetachment. In this almost hopeless situation, scleral buckling surgery was performed. The culyx of the periretinal membranes was opened without vitrectomy and in spite of massive vitreous body shrinkage. After surgery the retina attached almost completely and the patient's visual acuity improved from light perception to 0.06. His present condition is illustrated by sketches and photographs of the fundus. The value of the method is emphasized by reference to similar cases. The patient, who also underwent retinal detachment surgery on the fellow eye and had been pensioned, is now following his occupation again.