What is it about?
We describe a case series in which a novel modification of Hamilton’s surgical technique was used, consisting of a typical encircling buckling procedure anchored in the center of each quadrant, with the ends of the band passed through a Watzke sleeve. Reference marks were placed to allow measurable shortening of the band when its ends were pulled to create an encircling indent. Postoperative ultrawide field retinal images were analyzed.
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Why is it important?
Published studies about scleral buckle as a primary procedure or a combined technique with vitrectomy lack a uniform surgical technique. Our modification of Hamilton’s technique uses objective measurements to generate a consistent and predictable postoperative buckle height.
Perspectives
The ideal postoperative buckle height has yet to be determined; however, the technique described here may assist the identification of an ideal buckle height in future studies. Additionally, our technique permits the intraoperative estimation of achieved scleral indent and can improve consis- tency across surgeons and hospitals.
Dr. Paulo Alves da Costa
Clinica Santa Maria
Read the Original
This page is a summary of: Modified Hamilton’s Controlled Encircling Procedure for Retinal Detachment, Journal of VitreoRetinal Diseases, August 2017, SAGE Publications,
DOI: 10.1177/2474126417725230.
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