Scleral buckling vs vitrectomy: the continued role for scleral buckling in the vitrectomy era.

摘要

SCLERAL BUCKLING (SB) with an episcleral exo-plant was first performed as a technique to repair rhegmatogenous retinal detachment (RD) by Custodis in 1949 and was popularized in the 1950s. Until the introduction of pars plana vitrectomy (PPV) in the early 1970s by Machemer et al,4 SB was the only significant treatment alternative for RD. Soon after its introduction, PPV enhanced the ability to repair RDs, particularly in settings of complex cases, trauma, and proliferative vitreoreti-nopathy (PVR) The use of PPV has expanded in the repair of RDs, particularly in patients with pseudophakic eyes.