Modified scleral band buckle placement technique.

Content Provider	Europe PMC
Author	Bhat, Parvez Ahmad Unnisa, Arsalan
Copyright Year	2022
Abstract	Background:Scleral buckling is considered an art, which has a long learning curve compared to other surgical retina techniques. Unfortunately, this beautiful surgical technique is getting less attention as new retina surgeons don’t get much exposure to this age-old surgical technique, reason being less interest shown by young retina surgeons and tremendous advancement in micro-incision vitrectomy system.This video is a modification of the present technique of placement of band buckle, which uses science rather than art.The most important aspect in band buckle is getting the optimal buckle height which needs a lot of experience before one can achieve it. Most of the surgeons tend to tighten it more than needed that can lead to complications. This new technique is easy to learn and will give controlled reproducible buckle height and can be done safely by the trainees.Purpose:The aim of this video is to simplify the technique of scleral buckling which can produce controlled and reproducible buckle height and will reduce the complications associated with a tight band buckle.Synopsis:A 360-degree peritomy is made. Four recti muscles are identified and separated and traction sutures are passed under their insertions. A partial thickness scleral tunnel is made in all four quadrants. A silicone band (style#41 used in this video) is passed through the scleral tunnel and under the insertion of all four recti.The two ends of the silicone band are trimmed so that they are opposed to each other. Then a 12-mm strip is cut off from one end, and the two remaining ends are tied with a 5-0 nonabsorbable suture. This technique ensures a 2-mm optimal buckle height.Highlights:We present an elegant technique of placing the band buckle in retinal detachment surgery.Video link:https://youtu.be/9_dh6qsd-7A
ISSN	03014738
Journal	Indian Journal of Ophthalmology
Volume Number	70
PubMed Central reference number	PMC9023986
Issue Number	2
PubMed reference number	35086296
e-ISSN	19983689
DOI	10.4103/ijo.ijo_156_22
Language	English
Publisher	Wolters Kluwer - Medknow
Publisher Date	2022-02-01
Publisher Place	India
Access Restriction	Open
Rights License	This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Copyright: © 2022 Indian Journal of Ophthalmology
Subject Keyword	Band buckle Buckle height Scleral tunnel Peritomy Silicone band Retinal detachment
Content Type	Text
Resource Type	Article
Subject	Ophthalmology