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Scleral Buckling: Full Thickness and Circumferential, Using Silicon Rubber Rodding and Photocoagulation

Scleral Buckling: Full Thickness and Circumferential, Using Silicon Rubber Rodding and... Abstract Since this technique was introduced 2 years ago,1,2 further experiences have encouraged us to use this simplified method of scleral buckling in a wider variety of cases. Results have been sufficiently encouraging to warrant a further report. Review of the Technique of Full Thickness Scleral Buckling Prior to surgery an accurate drawing of the fundus is prepared, with careful attention to the topography of the retinal holes. The contemplated position of the scleral buckle is then superimposed on this drawing. In the ideal case, the buckle will pass around the equator of the globe, and all retinal tears will lie on the anterior slope of the buckle. The position of the buckle can be moved anteriorly or posteriorly as long as the encircling silicon rubber rodding passes over the greatest circle of the globe. Forward displacement is limited by the insertion of the rectus muscles. If a retinal tear References 1. A special 5-0 monofilament Dermalon suture on a 7-mm. half-circle, hand-honed, reverse-cutting needle has been prepared by Ethicon, Inc., New Brunswick, N.J. 2. Made by Labtician Products Company, Hollis, N.Y. 3. Girard, L. J.: Full Thickness Scleral Buckling Using Silicon Rubber Rodding and the Light Coagulator, Presented at the Mid-Southern Section Meeting, Association for Research in Ophthalmology, Houston, Texas, Nov., 1959. 4. Girard, L. J.: Full Thickness Scleral Buckling Using Silicon Rubber Rodding and the Light Coagulator , Highlights Ophthal. 4:42, 1960-1961. 5. Colyear, B.: Opinion on the Silicon Buckle and Light Coagulation , Highlights Ophthal. 4:55, 1960-1961. 6. Curtin, B. J., and Teng, C. C.: Scleral Changes in Pathological Myopia , Trans. Amer. Acad. Ophthal. Otolaryng. 62:777, 1958. 7. Girard, L. J., and Beltranena, F.: Early and Late Complications of Extensive Muscle Surgery , Arch. Ophthal. 64:576, 1960.Crossref 8. Sampson, W. G., and Girard, L. J.: The Coefficient of Scleral Rigidity: Effect of Variation of the Intraocular Volume, abstracted , Amer. J. Ophthal. 51:159, 1961. 9. Girard, L. J.; Neely, W., and Sampson, W. G.: The Problems of Intracapsular Extraction in Infants and Children, to be published. 10. Schepens, C. L.: Personal communication to the author. 11. Arruga, H.: Certain Considerations of the Surgical Treatment of Retinal Detachment , Amer. J. Ophthal. 35:1573, 1952. 12. Arruga, H.: Scleral Buckling Using Nylon Suture, Highlights of Ophthalmology , edited by Benjamin J. Boyd, Part II, 1958, pp. 170-172. 13. Barraquer Moner, J. I.: Indicaciónes y resultados de la resección escleral , Arch. Soc. Oftal. Hisp.-Amer. 12:643, 1952. 14. Barraquer Moner, J. I.: Resección escleral laminar en miopia alta: Resultados , Clin. Lab. (Zaragoza) 59:358, 1955. 15. Chamlin, M., and Rubner, K.: Lamellar Undermining: A Preliminary Report on a Technique of Scleral Buckling for Retinal Detachment , Amer. J. Ophthal. 41:633, 1956. 16. Christensen, L.; Swan, K. C., and Allen, A.: Histologic Demonstration of Heat Injury to Collagen Tissues of the Eye , A.M.A. Arch. Ophthal. 52:79, 1954. 17. Colyear, B. H., Jr., and Pischel, D. K.: Causes of Failure in Retinal Detachment Surgery , A.M.A. Arch. Ophthal. 56:274, 1956.Crossref 18. Custodis, E.: Die Behandlung der Netzhautablösung durch umschriebene Diathermiekoagulation und einer mittels Plombenaufnähung erzeugten Eindellung der Sklera im Bereich des Risses , Klin. Mbl. Augenheilk. 129:476, 1956. 19. Dellaporta, A.: Die Verkürzung der Bulbus mittels Skleralfaltung , Klin. Mbl. Augenheilk. 119:135, 1951. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Scleral Buckling: Full Thickness and Circumferential, Using Silicon Rubber Rodding and Photocoagulation

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Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1962.00960020411006
Publisher site
See Article on Publisher Site

Abstract

Abstract Since this technique was introduced 2 years ago,1,2 further experiences have encouraged us to use this simplified method of scleral buckling in a wider variety of cases. Results have been sufficiently encouraging to warrant a further report. Review of the Technique of Full Thickness Scleral Buckling Prior to surgery an accurate drawing of the fundus is prepared, with careful attention to the topography of the retinal holes. The contemplated position of the scleral buckle is then superimposed on this drawing. In the ideal case, the buckle will pass around the equator of the globe, and all retinal tears will lie on the anterior slope of the buckle. The position of the buckle can be moved anteriorly or posteriorly as long as the encircling silicon rubber rodding passes over the greatest circle of the globe. Forward displacement is limited by the insertion of the rectus muscles. If a retinal tear References 1. A special 5-0 monofilament Dermalon suture on a 7-mm. half-circle, hand-honed, reverse-cutting needle has been prepared by Ethicon, Inc., New Brunswick, N.J. 2. Made by Labtician Products Company, Hollis, N.Y. 3. Girard, L. J.: Full Thickness Scleral Buckling Using Silicon Rubber Rodding and the Light Coagulator, Presented at the Mid-Southern Section Meeting, Association for Research in Ophthalmology, Houston, Texas, Nov., 1959. 4. Girard, L. J.: Full Thickness Scleral Buckling Using Silicon Rubber Rodding and the Light Coagulator , Highlights Ophthal. 4:42, 1960-1961. 5. Colyear, B.: Opinion on the Silicon Buckle and Light Coagulation , Highlights Ophthal. 4:55, 1960-1961. 6. Curtin, B. J., and Teng, C. C.: Scleral Changes in Pathological Myopia , Trans. Amer. Acad. Ophthal. Otolaryng. 62:777, 1958. 7. Girard, L. J., and Beltranena, F.: Early and Late Complications of Extensive Muscle Surgery , Arch. Ophthal. 64:576, 1960.Crossref 8. Sampson, W. G., and Girard, L. J.: The Coefficient of Scleral Rigidity: Effect of Variation of the Intraocular Volume, abstracted , Amer. J. Ophthal. 51:159, 1961. 9. Girard, L. J.; Neely, W., and Sampson, W. G.: The Problems of Intracapsular Extraction in Infants and Children, to be published. 10. Schepens, C. L.: Personal communication to the author. 11. Arruga, H.: Certain Considerations of the Surgical Treatment of Retinal Detachment , Amer. J. Ophthal. 35:1573, 1952. 12. Arruga, H.: Scleral Buckling Using Nylon Suture, Highlights of Ophthalmology , edited by Benjamin J. Boyd, Part II, 1958, pp. 170-172. 13. Barraquer Moner, J. I.: Indicaciónes y resultados de la resección escleral , Arch. Soc. Oftal. Hisp.-Amer. 12:643, 1952. 14. Barraquer Moner, J. I.: Resección escleral laminar en miopia alta: Resultados , Clin. Lab. (Zaragoza) 59:358, 1955. 15. Chamlin, M., and Rubner, K.: Lamellar Undermining: A Preliminary Report on a Technique of Scleral Buckling for Retinal Detachment , Amer. J. Ophthal. 41:633, 1956. 16. Christensen, L.; Swan, K. C., and Allen, A.: Histologic Demonstration of Heat Injury to Collagen Tissues of the Eye , A.M.A. Arch. Ophthal. 52:79, 1954. 17. Colyear, B. H., Jr., and Pischel, D. K.: Causes of Failure in Retinal Detachment Surgery , A.M.A. Arch. Ophthal. 56:274, 1956.Crossref 18. Custodis, E.: Die Behandlung der Netzhautablösung durch umschriebene Diathermiekoagulation und einer mittels Plombenaufnähung erzeugten Eindellung der Sklera im Bereich des Risses , Klin. Mbl. Augenheilk. 129:476, 1956. 19. Dellaporta, A.: Die Verkürzung der Bulbus mittels Skleralfaltung , Klin. Mbl. Augenheilk. 119:135, 1951.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1962

References