Understanding the Scleral Buckle Surgery Process
- Sophia Wong, MD
- Oct 13
- 4 min read
Scleral buckles are a trusted method to repair retinal detachments and protect your vision. When facing a retinal detachment, the thought of surgery can feel overwhelming. Here is an overview of the procedure to give you an idea of what to expect and what the recovery looks like. By understanding what happens before, during, and after the surgery, you can feel more assured and prepared.
What Is Scleral Buckle Surgery?
Scleral buckle surgery is a specialized operation designed to fix a detached retina. The retina is a thin layer of tissue at the back of your eye that senses light and sends images to your brain. When it detaches, it can cause vision loss if not treated promptly.
The surgery involves placing a flexible band, called a scleral buckle, around the white part of your eye (the sclera). This band is usually made of silicone. It gently pushes the eye wall inward, helping the retina reattach to its proper place. Think of it like putting a belt around a loose tire to keep it snug and secure.
This technique has been used for decades and remains a reliable option for many patients. It often works well alongside other treatments, such as laser therapy or vitrectomy, depending on the specific case.
The Scleral Buckle Surgery Process: Step by Step
Understanding the steps involved can ease any anxiety you might have. Here’s a simple breakdown of what to expect during the scleral buckle surgery process:
Preparation and Anesthesia
Before surgery, your eye will be numbed with local anesthesia. This means you won’t feel pain. Sedation is given to help you relax. Depending on the surgeon and if you have any risk factors, you may also be put to sleep under general anesthesia. The surgeon will clean the area around your eye to reduce infection risk.
Making the Incision
A small cut is made in the white part of your eye. This gives the surgeon access to the sclera and the detached retina.
Placing the Scleral Buckle
The surgeon carefully places the silicone band around the eye. It is secured to the sclera (the white part of the eye) to gently indent the sclera. This indentation supports the retina and helps close any tears or holes.
Draining Fluid (if needed)
Sometimes, excessive fluid has built up under the retina. The surgeon may drain this fluid to help the retina settle back into place.
Closing the Incision
Once the buckle is in place, the incision is closed with stitches. These stitches usually dissolve on their own or may be removed during a follow-up visit.
Post-Surgery Care
You will receive instructions on how to care for your eye, including using prescribed eye drops to prevent infection and reduce inflammation.
The entire procedure typically takes about one to two hours. Most patients go home the same day, but you’ll need someone to drive you.
If you want to learn more about the scleral buckle procedure, Beacon Retina offers detailed information and expert care in the Bethesda and DC metro area.
How Long Does a Scleral Buckle Stay On?
One common question is how long the scleral buckle remains in the eye. The good news is that the buckle is usually left in place permanently and does not need a separate procedure for removal. It is designed to be a long-term support for the retina.
In most cases, the buckle does not cause discomfort or interfere with daily activities. It cannot be felt or seen externally after everything has healed. However, a minority of patients could experience mild irritation or changes in vision, which your doctor will monitor and may discuss with you if adjustments are necessary.
Although the scleral buckle is considered a permanent implant, it does not react with any materials and it is safe to undergo a body scanner (such as an MRI machine or an airport scanner).
If any complications arise, such as infection, the buckle will be removed or adjusted. But this is rare. Regular follow-up visits help ensure everything is healing well and your vision is stable.
Knowing that the buckle stays in place can be reassuring. It acts like a gentle brace, supporting your eye and helping prevent future detachments.
What to Expect During Recovery
Recovery from scleral buckle surgery is a gradual process. Here’s what you can expect in the days and weeks after the operation:
Initial Healing
Your eye may feel sore or gritty for a few days. Mild swelling and redness are normal. Using prescribed eye drops as directed will help reduce these symptoms.
Activity Restrictions
Avoid heavy lifting, bending over, or strenuous exercise for at least a week. These actions can increase eye pressure and affect healing.
Vision Changes
Your vision might be blurry or distorted at first. This usually improves over time as the retina settles and the eye heals. The scleral buckle is expected to cause some nearsightedness, which can be corrected with glasses or contact lenses.
Follow-Up Visits
Regular check-ups are essential. Your doctor will examine your eye to ensure the retina is attached and the buckle is in place.
Long-Term Care
Protect your eyes from injury and report any sudden changes in vision immediately. Early detection of problems can prevent complications.
Patience is key during recovery. Your eye is healing, and gradual improvement is a positive sign.
Why Choose Expert Care for Your Retinal Health?
Retinal detachment is a serious condition, and choosing the right care team makes all the difference. At Beacon Retina, the focus is on compassionate, expert treatment tailored to each patient’s needs.
If you or someone you know is facing retinal issues, don’t hesitate to seek expert advice. Early intervention and skilled treatment can save sight.
Understanding the scleral buckle surgery process helps you feel more in control and prepared. This procedure is a well-established way to repair retinal detachments and protect your vision for the long term. With the right care and follow-up, many patients enjoy successful outcomes and peace of mind.
Dr. Sophia Wong is a retina specialist, surgeon and board-certified ophthalmologist. She established Beacon Retina to prioritize thoughtful, patient-centered care for preserving long-term vision.
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