ReviewGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2020
Scleral buckling-a brief historical overview and current indications.
Review in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
42 citing papers in PubMed, 71 citations in OpenAlex.
- Risk factors of retinal non-reattachment after initial buckling surgery for rhegmatogenous retinal detachment.Japanese journal of ophthalmology · 2026Article
- Technical feasibility of suprachoroidal filler injection using ultrathin needle in animal model.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Stepwise analysis of the scleral encircling learning curve for clinical fellows using surgical video review.International journal of retina and vitreous · 2026Article
- Practical applications of ultrasound B-scan in vitreoretinal conditions: A narrative review.European journal of ophthalmology · 2026Review
- Ocular clinical characteristics and surgical outcomes of patients with stickler syndrome.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Case report: Central retinal artery occlusion following scleral buckling surgery with secondary angle closure and recurrent acute ocular hypertension.Frontiers in medicine · 2026Article
- Three-Dimensional Reconstruction for Localizing Retinal Tears in Treatment of Rhegmatogenous Retinal Detachment by Foldable Capsular Buckle.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Endo-illumination-assisted scleral buckling for chronic rhegmatogenous retinal detachments with undetected retinal breaks in young adults.BMC ophthalmology · 2025Article
- Establishment of a RBL-formula to determine the retinal breaks location for scleral buckling surgery.International ophthalmology · 2025Article
- CLINICAL OUTCOMES OF SCLERAL BUCKLING IN ELDERLY PATIENTS WITH RHEGMATOGENOUS RETINAL DETACHMENT: A Retrospective Cohort Study.Retina (Philadelphia, Pa.) · 2025Article
- Retinal detachments secondary to inferior retinal breaks: anatomic outcomes following the use of different surgical techniques.BMJ open ophthalmology · 2024Article
- Choroidal and Retinal OCTA Parameters after Scleral Buckling.Journal of ophthalmic & vision research · 2024Article
- Clinical features of retinal detachment treated with segmental scleral buckling.International ophthalmology · 2024Article
- The practical and educational value of scleral buckling with chandelier illumination.International ophthalmology · 2024Article
- Scleral buckling with adjuvant pneumatic retinopexy versus scleral buckling alone for rhegmatogenous retinal detachment.Scientific reports · 2024Article
- Challenges in Diagnosing Extruded Hydrogel Scleral Buckle Mimicking an Orbital Abscess: A Case Report.Cureus · 2024Article
- Efficacy and visual outcomes of the foldable capsular buckle scleral buckling in rhegmatogenous retinal detachment.Frontiers in medicine · 2024Article
- Outcomes and variables that impact pneumatic retinopexies.International journal of ophthalmology · 2024Article
- Primary Rhegmatogenous Retinal Detachment Repair by Pars Plana Vitrectomy with and without Scleral Buckling: A Propensity Score Analysis.Clinical ophthalmology (Auckland, N.Z.) · 2024Article
- Retinal Detachment Associated with Retinal Dialysis: Clinical Features and Outcomes of Surgery in a 10-Year Study.Ophthalmology. Retina · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The key to successful management of rhegmatogenous retinal detachment (RRD) is to find and seal all of the retinal breaks, and the two main surgical techniques used to achieve this are scleral bucking (SB) or pars plana vitrectomy (PPV). Techniques for SB have remained mostly unchanged for the last 60 years, whilst PPV techniques and instruments have developed substantially over that time and have greatly contributed to increased success rate for types and configurations of retinal detachments unsuitable or difficult to manage with buckling alone. However, there is a growing dependency to rely on PPV as the sole and only approach for repair of all types of retinal detachment, such that some centres are no longer offering training in scleral buckling. There are also many studies comparing SB with PPV, but many of these lack information on the type, technique or rationale for deployment of the buckle. Many studies deploy the same scleral buckle technique without customising it to the type, position or number of tears being treated. Scleral buckling is not a one-size-fits-all technique. It requires careful patient selection and careful buckle selection and orientation tailored to the tear(s) to ensure success. When used appropriately, it is a simple and highly effective technique, particularly for retinal dialyses, round retinal hole detachments and selected cases of retinal detachment associated with horseshoe retinal tears. There is no doubt that for some more complex cases, such as multiple large breaks, giant retinal tears, bullous detachments and cases complicated by proliferative retinopathy, PPV offers a safer and more effective management. However, SB remains an important and relevant surgical technique, and for the right cases, the results can be superior to PPV with reduced comorbidity.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.