Continuing our series on how to perform scleral buckles, our next step is to isolate the rectus muscles. Whether performing a primary buckle or a combination buckle and vitrectomy, here we will discuss some tips to decrease the risk of post-operative diplopia and to ensure adequate visualization of the sclera for buckle implantation. While rectus muscle isolation is a seemingly simple step during buckle implantation, it’s important to get this early step done properly to set yourself up for success for the rest of the surgery and for the patient’s post-operative recovery.
