Circumferential Buckling on Equator: II. Advantages of Circumferential Buckling on Equator with Conserved Scleral Implant.

Kim, Sang Ha; Cho, Yoon Ae

Original Article

Journal of the Korean Ophthalmological Society 1979;20(3):309-311.
Published online March 1, 1979.

Circumferential Buckling on Equator: II. Advantages of Circumferential Buckling on Equator with Conserved Scleral Implant.

Sang Ha Kim, Yoon Ae Cho

¹Department of Ophthalmology, School of Medicine University of Kyung-Book, Korea.
²Department of Ophthalmology, College of Medicine, University of Kei-Myung Post graduate School University of Kyung-Book, Korea.

안구적도상에 시술하는 위도공막돌융술식 (緯度鞏膜突隆術式) - Ⅱ. 보존공막을 Implant 로 사용한 적도상 위도공막돌융술식의 (緯度鞏膜突隆術式) 이점

김상하 , 조윤애 ( Sang Ha Kim , Yoon Ae Cho )

Abstract

As a contrast to the surgery described in part I, a lamellar undermining was performed in a conventional way. The sclera was lamellarly undermined on the retinal hole areas which extended at least 3 mm beyond the disc edge of the retinal breaks. If the scleral buckling with a circling element is indicated the location of the undermined area determines whether the circling band must follow the globe's equator or another great circle around the eye, The technique for decreasing a vitreoretinal traction used in this series of cases was that proposed by Schepens. Of 56 surgical procedures for retinal detachment, there was a case of an unsuccessful closure of the retinal break due to fishmouthing of the posterior edge of the break. The technique proposed by Schepens was sufficiently promising. But it has the following drawbacks; difficulties in exact hole localization in a high detached retina, anchoring sutures of the circling band behind the equator and problems to protect the vortex veins from the circling band etc. Our experience since 1978, led us to modify the conventional view, in favor of the circumferential buckling on the equator.