Scleral Buckle Displacement: Symptoms, Risks, and Solutions - Ophthalmology

More Info

---

Scleral buckle surgery is a common procedure used to treat retinal detachment by placing a silicone band around the eye to support the retina. However, complications can arise, such as buckle displacement, which can lead to discomfort and other symptoms. Your experience of persistent pain and the need for repositioning of the buckle indicates that the situation requires careful management.


Symptoms of Scleral Buckle Displacement
The symptoms you are experiencing, such as sharp pain in the corner of your eye, are not uncommon when there is a displacement of the scleral buckle. Other potential symptoms may include:
- Visual disturbances: Blurred vision or changes in vision can occur if the buckle affects the retina's position.

- Increased pressure: Displacement can lead to increased intraocular pressure, causing discomfort.

- Inflammation: The area around the buckle may become inflamed, leading to pain and discomfort.


Risks Associated with Displacement
The risks of scleral buckle displacement include:
- Retinal detachment: If the buckle is not properly positioned, it may not adequately support the retina, increasing the risk of detachment.

- Infection: Any surgical procedure carries a risk of infection, and improper positioning may exacerbate this risk.

- Chronic discomfort: Persistent pain can significantly affect your quality of life and may require additional interventions.


Solutions and Management
1. Repositioning the Buckle: As you've already experienced, the first line of treatment is often to reposition the buckle. This can alleviate symptoms and restore proper support to the retina.

2. Monitoring: After repositioning, close monitoring is essential. Your ophthalmologist will likely schedule follow-up appointments to assess the buckle's position and your symptoms.

3. Medication: Anti-inflammatory medications or pain relievers may be prescribed to manage discomfort during the healing process.

4. Surgical Removal: If the buckle continues to displace or causes significant issues, removal may be considered. However, this decision should be made carefully, as removing the buckle can increase the risk of retinal detachment. The timing of removal will depend on your specific situation and the judgment of your ophthalmologist.


Recovery and Hospitalization
If the decision is made to remove the buckle, the procedure is typically performed under local anesthesia, and many patients do not require hospitalization. Recovery time can vary, but many patients can return to normal activities within a few days, although complete healing may take longer.


Conclusion
It is crucial to maintain open communication with your ophthalmologist regarding your symptoms and concerns. If you are experiencing recurrent pain and displacement, it is essential to address these issues promptly to prevent further complications. While the idea of removing the buckle may seem daunting, your doctor will weigh the risks and benefits carefully before making any recommendations. Always follow their advice and attend all scheduled follow-ups to ensure the best possible outcome for your eye health.