Retinal Detachment

Encircling narrow band versus buckle for retinal detachments with intrabasal or unseen retinal breaks

“…Most surgeons use a wide buckle in addition to a narrow band for encircling buckles. [ 12 17 18 ] Encircling buckling is generally indicated in eyes with vitreous traction for 360 degrees, multiple retinal breaks in different quadrants and also when there are no identifiable breaks whatsoever. [ 8 ] The latter is regarded as a poor prognostic factor,[ 8 10 ] thus the surgeon must make all efforts to detect the causative break(s) preoperatively.…”

“…[ 14 15 16 18 ] Wide buckles, as opposed to narrow bands, are difficult to apply, take more time to be placed, may cause long-term discomfort and cosmetic complaints and above all, increase the risk of orbital tissue injury particularly to the rectus muscles. [ 12 ] Eye movements are also more limited with wide buckles and occasionally wide buckle placement necessitates muscle disinsertion. [ 17 ] Overall, wide buckle surgery is complicated, invasive and more time consuming than narrow buckle placement.…”

“…[ 8 9 10 11 ] Primary anatomical success rates of 53-85% have been reported for RRDs with unseen breaks. [ 8 12 13 ]…”

“…Many surgeons have attempted to minimize manipulations by using segmental buckling techniques. [ 12 ] Encircling buckles may also interfere with choroidal circulation. [ 14 15 16 17 18 ]…”

Encircling narrow band versus buckle for retinal detachments with intrabasal or unseen retinal breaks

“…Most surgeons use a wide buckle in addition to a narrow band for encircling buckles. [ 12 17 18 ] Encircling buckling is generally indicated in eyes with vitreous traction for 360 degrees, multiple retinal breaks in different quadrants and also when there are no identifiable breaks whatsoever. [ 8 ] The latter is regarded as a poor prognostic factor,[ 8 10 ] thus the surgeon must make all efforts to detect the causative break(s) preoperatively.…”

“…[ 14 15 16 18 ] Wide buckles, as opposed to narrow bands, are difficult to apply, take more time to be placed, may cause long-term discomfort and cosmetic complaints and above all, increase the risk of orbital tissue injury particularly to the rectus muscles. [ 12 ] Eye movements are also more limited with wide buckles and occasionally wide buckle placement necessitates muscle disinsertion. [ 17 ] Overall, wide buckle surgery is complicated, invasive and more time consuming than narrow buckle placement.…”

“…[ 8 9 10 11 ] Primary anatomical success rates of 53-85% have been reported for RRDs with unseen breaks. [ 8 12 13 ]…”

“…Many surgeons have attempted to minimize manipulations by using segmental buckling techniques. [ 12 ] Encircling buckles may also interfere with choroidal circulation. [ 14 15 16 17 18 ]…”

Applying Sutureless Encircling Number 41 Band and Transscleral Chandelier-Assisted Laser Retinopexy for Scleral Buckling Procedure

“…RRD in eyes with retinal breaks in multiple quadrants, diffuse vitreo-retinal pathology or early PVR, are better managed by encircling techniques. Using narrow bands in these cases, instead of wide tires, can reduce orbital tissue manipulation and decrease the risk of extraocular muscle restrictions [ 12 , 13 ].…”

Encircling narrow band versus buckle for retinal detachments with intrabasal or unseen retinal breaks

“…Most surgeons use a wide buckle in addition to a narrow band for encircling buckles. [ 12 17 18 ] Encircling buckling is generally indicated in eyes with vitreous traction for 360 degrees, multiple retinal breaks in different quadrants and also when there are no identifiable breaks whatsoever. [ 8 ] The latter is regarded as a poor prognostic factor,[ 8 10 ] thus the surgeon must make all efforts to detect the causative break(s) preoperatively.…”

“…[ 14 15 16 18 ] Wide buckles, as opposed to narrow bands, are difficult to apply, take more time to be placed, may cause long-term discomfort and cosmetic complaints and above all, increase the risk of orbital tissue injury particularly to the rectus muscles. [ 12 ] Eye movements are also more limited with wide buckles and occasionally wide buckle placement necessitates muscle disinsertion. [ 17 ] Overall, wide buckle surgery is complicated, invasive and more time consuming than narrow buckle placement.…”

“…[ 8 9 10 11 ] Primary anatomical success rates of 53-85% have been reported for RRDs with unseen breaks. [ 8 12 13 ]…”

“…Many surgeons have attempted to minimize manipulations by using segmental buckling techniques. [ 12 ] Encircling buckles may also interfere with choroidal circulation. [ 14 15 16 17 18 ]…”

Applying Sutureless Encircling Number 41 Band and Transscleral Chandelier-Assisted Laser Retinopexy for Scleral Buckling Procedure

“…RRD in eyes with retinal breaks in multiple quadrants, diffuse vitreo-retinal pathology or early PVR, are better managed by encircling techniques. Using narrow bands in these cases, instead of wide tires, can reduce orbital tissue manipulation and decrease the risk of extraocular muscle restrictions [ 12 , 13 ].…”

Encircling narrow band versus buckle for retinal detachments with intrabasal or unseen retinal breaks

“…Most surgeons use a wide buckle in addition to a narrow band for encircling buckles. [ 12 17 18 ] Encircling buckling is generally indicated in eyes with vitreous traction for 360 degrees, multiple retinal breaks in different quadrants and also when there are no identifiable breaks whatsoever. [ 8 ] The latter is regarded as a poor prognostic factor,[ 8 10 ] thus the surgeon must make all efforts to detect the causative break(s) preoperatively.…”

“…[ 14 15 16 18 ] Wide buckles, as opposed to narrow bands, are difficult to apply, take more time to be placed, may cause long-term discomfort and cosmetic complaints and above all, increase the risk of orbital tissue injury particularly to the rectus muscles. [ 12 ] Eye movements are also more limited with wide buckles and occasionally wide buckle placement necessitates muscle disinsertion. [ 17 ] Overall, wide buckle surgery is complicated, invasive and more time consuming than narrow buckle placement.…”

“…[ 8 9 10 11 ] Primary anatomical success rates of 53-85% have been reported for RRDs with unseen breaks. [ 8 12 13 ]…”

“…Many surgeons have attempted to minimize manipulations by using segmental buckling techniques. [ 12 ] Encircling buckles may also interfere with choroidal circulation. [ 14 15 16 17 18 ]…”

Applying Sutureless Encircling Number 41 Band and Transscleral Chandelier-Assisted Laser Retinopexy for Scleral Buckling Procedure

“…RRD in eyes with retinal breaks in multiple quadrants, diffuse vitreo-retinal pathology or early PVR, are better managed by encircling techniques. Using narrow bands in these cases, instead of wide tires, can reduce orbital tissue manipulation and decrease the risk of extraocular muscle restrictions [ 12 , 13 ].…”