162. Scleral Buckle without SRF Drainage

In today’s episode we will show you the steps for implantation of a 276 tire along with a 240 band and a 270 sleeve without subretinal fluid drainage.  There are a number of scleral buckling elements that surgeons can choose from.  During the video we will discuss some of the pros and cons of using a 276 tire and in subsequent videos we will show you implantation of other buckle elements.  The patient in this video is a young phakic patient without a PVD who presents with a superonasal macula-involving retinal detachment that appears to be chronic based on the pigmented demarcation line.  The subretinal fluid has now broken through this demarcation line. The causative break is a single small atrophic hole in the superonasal quadrant and the fluid is shallow peripherally.

video link here

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