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IV. Reoperations Following Scleral Bucklings

I. D. OKAMURA, M.D.; C. L. SCHEPENS, M.D.; R. J. BROCKHURST, M.D.

AMA Arch Ophthalmol. 1959;62(3):445-458.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The first and second articles of this series contain a description of the techniques of scleral buckling when performed as a primary procedure, and the third article deals with difficulties in reoperations following other types of retinal surgery. This article describes techniques used when a reoperation follows a scleral buckling procedure. A more detailed discussion of the indications for procedures used in reoperations will be the subject of our next article.

One of the greatest dangers in reoperating after a diathermy operation and, to less degree, after a scleral resection is that sciera treated with diathermy is edematous, Prone to rupture, and adherent to orbital Scar tissue. After a scleral buckling, on the other hand, the treated portion of the sciera is folded in and protected by the polyethylene tube. Adhesions between sclera and orbital soft tissues are less dense and easier to dissect. This reduces the danger of accidentally . . . [Full Text PDF of this Article]

Author Affiliations
Boston

From the Retina Foundation, Department of Ophthalmology of the Massachusetts Eye and Ear Infirmary and Harvard Medical School.

Footnotes
Submitted for publication Feb. 23, 1959.

Paper 78, Retina Foundation.

This work was supported by the Dazian Foundation.

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