What is a Scleral buckle?

Scleral buckling is a treatment for retinal detatchment.

What does scleral buckling involve?

Step 1: Your in-depth consultation

Following a detailed assessment, your Consultant Ophthalmic Surgeon will discuss the best course of treatment for you. The consultant will be the same person who carries out your procedure and your checks at follow-up appointments.

Step 2: The scleral buckling procedure

Scleral buckling is used to treat retinal detachment. It is a method of closing breaks and flattening the retina.

The procedure involves stitching tiny silicone bands or sponge material to the tough outer wall of the eye (sclera) in the area corresponding to the location of the detachment. This element pushes the sclera towards the middle of the eye and relieves the pull (traction) of the vitreous gel on the retina. This prevents liquid from moving behind the break and increasing it. The retinal tear/detachment is then able to settle against the wall of the eye. The easiest way to imagine what is happening is that the buckle pushes the eye wall back towards the detached retina.

vitrectomy may also be necessary after scleral buckling and gas may be injected into the eye to keep the retina in the correct position. Laser or freezing procedures may then be used to create a scarring effect, sealing off the break and holding the layers of the eye together.

Step 3: Rest and recovery

Afterwards, you will be taken to our recovery suite to rest before returning home.

Step 4: Your aftercare

Following your sceral buckling procedure, your consultant will see you for a follow-up appointment to check on your progress, assess the results and answer any questions you may have. You will be provided with an emergency contact number so that if you do experience any unexpected symptoms, you can contact us.

The cost of scleral buckling at Optegra

At Optegra, we offer simple and easy-to-understand costs across all of our treatments, so that our patients aren’t surprised by unexpected extras along the way. We are always transparent with our pricing, which is one of the reasons Optegra has been voted the UK’s most-trusted eye health specialists by our patients.

Scleral buckling treatment varies among our patients, due to the emergency nature of the surgery and the possibility of also needing an additional vitrectomy procedure. Because we understand that each of our patients has different eye health needs, we are unable to provide a generic cost for the scleral buckling treatment. Instead, book a one-to-one consultation with one of our world-class surgeons and they will be able to discuss your individual circumstances, identify if you are suitable for scleral buckling, and answer any further questions you may have regarding your time at Optegra’s dedicated eye health hospitals.

We try our hardest to ensure that all our patients have the same options available to them, which is why we offer a range of payment and finance options for all of our procedures.

Book your one-to-one consultation, or attend one of our open evenings to speak to one of our eye health specialists and find out what treatment plans work best for you.

Am I suitable for scleral buckling treatment?

Scleral buckling is one of the treatments available for those suffering from retinal detachment. It involves stitching a tiny silicone band or sponge material into the outer wall of the eye to help close breaks and flatten the retina. By relieving the pull of the vitreous gel on the retina, as well as preventing liquid moving behind the tear, it can alleviate vision loss, flashing lights and other symptoms associated with the disorder.

Our eye health specialists will determine if you are suitable for scleral buckling during your one-to-one consultation. As a general rule, scleral buckling may be the recommended treatment for your eye health needs if:

  • You’re experiencing loss of vision
  • You can see flashing lights or floating objects
  • You have previously had cataract surgery
  • You have diabetes

Depending on your individual circumstances, scleral buckling is usually only performed as an emergency procedure. However, the procedure may need to be followed up with a vitrectomy to keep the retina in the correct position.

At Optegra, we know that every patient is different, so it’s hard to assess your individual circumstances without meeting you personally. To learn more about your suitability and other options available to you, book a no-obligation private consultation with one of our leading specialists today. Alternatively, attend one of our open days where our dedicated team of eye health specialists will be happy to answer any general queries you may have.


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