Limits of constriction in the treatment of retinal detachment
H. Lincoff, I. Kreissig and L. Parver
A constricting silicone band was added to 13% of local sponge buckle
operations in this series. The purpose was to relieve circumferential
traction or to maintain a high buckle. The inclusion of a cerclage did not
require drainage of subretinal fluid. The rate of reattachment without
drainage (42 of 50 detachments) is comparable to what might be expected if
the subretinal fluid had been drained. Constriction was controlled and
limited to between 10% and 25% of the circumference of the eye. Anterior
segment ischemia requiring relaxation of the band occurred in two
patients; scleral erosion did not occur.