Scleral buckling is an important surgical skill that every vitreoretinal surgeon should be comfortable performing, particularly in young, phakic patients without a PVD. The patient in today’s case, presented by guest surgeon of the week Dr. Michael Klufas, is the ideal candidate for a buckle: a young healthy patient with a clear natural lens and no PVD. However, despite a well-placed scleral buckle, the procedure failed. Let’s see how Dr. Klufas treated this patient and at the end we will discuss why buckles fail and strategies for management. Thank you Dr. Klufas for sharing this case!
