Scleral buckles are removed for infections or erosions into the sclera. After removal, a pars plana vitrectomy can be performed with gas or oil infusion to tamponade the retina in place and prevent re-detachment. A scleral buckle works by supporting the tear and detachment on the indented part of the eye wall. This tends to elongate the eye and cause a myopic shift in refractive error.
Answered 5/30/2021
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