Program list

SYMPOSIUM: STRATEGIES
SECTION: To manage complicated cases of PVR
Moderators: Didier Ducournau, Murat Oncel
Tuesday, September 16th, 2003 ;9:50 - 12:00

EPISCLERAL BUCKLING IN THE TREAMENT OF SEVERE PROLIFERATIVE VITREORETINOPATHY: TIME CONSUMING OR USEFUL ADJUNCT?
Jean-François le Rouic
Nantes, France

Purpose: to argue for the usefulness of encircling buckling in the treatment of proliferative vitreoretinopathy (PVR)
Methods: presentation of demonstrating cases in which an encircling buckle was helpful to maintain the retina attached after surgery for severe PVR.
Results: The use of scleral buckling may 1) reduce the indication for retinotomy and its related complications 2) allow retinal reapplication despite anterior recurrence of PVR membranes or incomplete peeling.
Conclusion: Although scleral buckling may appear as a fastidious as, old-fashioned, and time consuming technique in a vitrectomy era it should still be considered as an important part in the treatment of severe PVR.