Lincoff Temporary Balloon Buckle in Retinal Detachment Surgery

Abstract

Purpose To assess the long-term anatomical and functional results of balloon buckle surgery for rhegmatogenous retinal detachment. Patients and Methods Twenty-five selected detachments with a single break or a group of breaks close together were treated with a temporary parabulbar balloon. Adhesion was obtained with transconjunctival cryopexy and argon laser photocoagulation. Retinal detachment was associated with the following risk factors: myopia (15 eyes), aphakia (2 eyes), blunt trauma (1 eye). Twenty-three eyes had a detached macula. The balloon was withdrawn after one week. The patients were kept under observation for at least six months (mean 44.7 months). Results Initial retinal attachment was achieved in 29 eyes. After the balloon was removed redetachment occurred in two eyes; thus, complete attachment was attained in 27 eyes. Causes of failure were: undetected break (2 eyes), inadequate buckle (4 eyes), proliferative vitreoretinopathy (2 eyes). Conventional scleral buckling and subretinal fluid drainage was done in all failed cases. Vitrectomy and silicone oil were employed in one patient, and finally retinal attachment was achieved in all patients. Conclusions Temporary balloon buckling is a simple and curative technique for a selected group of patients with retinal detachments.

Efficacy of scleral buckling for the treatment of rhegmatogenous retinal detachment using a novel foldable capsular buckle

“…Previous studies have reported that the single-operation anatomical success rate of balloon-assisted scleral buckling for RRD ranges from 80% to 100% [1,18,20,22,24,[26][27] . Factors contributing to the failure of the procedure include inadequate buckling, undetected breaks, new breaks discovered after surgery, choroidal detachment, balloon prolapse, another break, inadequate adhesion, break caused by vitreous retraction, proliferative vitreoretinopathy (PVR), etc [19] . Secondary surgical procedures may involve scleral buckling surgery or minimally invasive pars plana vitrectomy (PPV).…”

“…The foldable capsular buckle (FCB) is a novel modification of the Lincoff balloon, in which the drainage tube is folded and sutured under the conjunctiva. This greatly reduces the risk of infection, as well as complications such as discomfort and foreign body sensation [18][19][20] . The FCB is a remodel of the foldable capsular vitreous body (FCVB) AV-10P model [21][22][23] and an innovative product independently developed by Vesber Biotechnology Co., LTD, Guangzhou, China.…”