Cerclaje escleral
Understanding scleral cerclage
This section explains in simple terms what the procedure is and how it works inside the eye.
Scleral buckling involves placing a silicone band or sponge around the sclera, the white outer layer of the eye, to pull it inward and relieve traction on the detached retina. By reducing this tension, the retina can return to its correct position and heal with the help of laser or cryotherapy. The silicone band acts like a belt that gently holds the eyeball in place so that the retina can reattach to the underlying tissue.
Causes of retinal detachment
Knowing the factors that cause a retinal detachment helps to recognize the symptoms in time and seek urgent care.
Retinal separation can be caused by natural aging of the eye, extreme myopia, trauma, or complications from previous eye surgeries. Early signs include a sudden increase in floaters, flashes of light, and a shadow moving across the field of vision.
Benefits and success rates
Scleral buckling offers important advantages for preserving vision and the natural structure of the eye.
Statistics show that between 85 and 90 percent of cases achieve retinal re-adhesion after a single surgery. Compared to vitrectomy, this method alters the inside of the eye less and reduces the risk of cataracts in young patients. The silicone band continues to provide long-term support without causing common discomfort.
Surgical procedure and recovery
The following describes the steps before, during, and after the procedure so you know what to expect.
A complete eye exam is performed, medical history is reviewed, and anesthesia options are explained. The procedure is outpatient and usually lasts between one and two hours. Recovery involves following medical advice and attending regular check-ups.
Risks and complications
Although scleral cerclage is safe, there are possible side effects that you should be aware of.
The risk is low and is usually controlled with antibiotics if it occurs. The shape of the eye may change slightly, causing a small increase in myopia. It may appear temporarily if the eye muscles become irritated during surgery. Sometimes the retina can detach again, which requires additional treatment.
Comparison with alternative treatments
There are other options for repairing a retinal detachment. The choice depends on the location, size, and complexity of the case.
Ideal method for rhegmatogenous detachments in eyes with natural lens.
- It preserves the vitreous humor and reduces the risk of cataracts.
- Requires experience in indirect ophthalmoscopy.
It consists of injecting a gas bubble to put pressure on the retina.
- Less invasive and with faster recovery.
- Suitable for small detachments in the upper part of the retina.
- Strict head positioning is required after surgery.
The vitreous gel is removed and replaced with silicone gas or oil.
- Useful in complex detachments or with vitreous hemorrhage.
- Higher risk of cataracts and it is more invasive.
The specialist assesses the extent of the detachment, the presence of complications, and the condition of the lens before recommending the best option.
Frequently Asked Questions
These answers clarify the most common questions about scleral cerclage surgery.
When the retina detaches due to a tear, the silicone band relieves the traction and allows the retina to reseat, reducing the risk of permanent vision loss. The procedure usually takes between one and two hours and, as it is outpatient, the person returns home the same day. It is normal to experience mild discomfort, swelling, and blurred vision, which improve over time with prescribed medication. Temporary physical restrictions are advised to promote healing. The band remains in place permanently but generally does not cause discomfort. Some patients may notice a slight increase in nearsightedness, which is monitored with regular checkups.
Your eye health is our priority
Scleral buckling offers a strong opportunity to preserve vision when a retinal detachment occurs. If you are experiencing symptoms or have been diagnosed with this condition, consult our team for a comprehensive evaluation and personalized treatment plan.
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