Ocular torsion as a complication of scleral buckle procedures for retinal detachments

Effect of scleral buckle removal on strabismus surgery outcomes after retinal detachment repair

“…Similarly, no retinal redetachments have been reported in other studies evaluating scleral buckle removal in conjunction with strabismus surgery. 2,21,22 Consultation with a retinal surgeon should be obtained to assess the risk of retinal redetachment prior to scleral buckle removal. 4,21 The effect of scleral buckle removal without strabismus surgery is controversial.…”

Twenty-Three–gauge Pars Plana Vitrectomy, Densiron-68, and 360° Endolaser Versus Combined 20-Gauge Pars Plana Vitrectomy, Scleral Buckle, and Sf6 for Pseudophakic Retinal Detachment With Inferior Retinal Breaks

“…Opting for primary PPV alone in the treatment of pseudophakic RD has been justified by eliminating additional SB-related risks, such as anterior segment ischemia, globe-penetrating injury, scleral buckle extrusion, or infection. [20][21][22][23] Although not of primary importance in vitreoretinal surgery, PPV can also optimize the duration of surgery, allowing for the use of transconjunctival small-gauge vitrectomy and avoiding axial length changes.…”

Strabismus Following Retinal Detachment Surgery

“…Forty-six percent of our cases with torsion had encircling implants or sponges. 5 There are several mechanisms for the occurrence of vertical strabismus in this population. The three most common are: 1.)…”

“…Torsion frequently accompanies vertical deviations and may be a major factor contributing to the persistence of diplopia. 5 These patients are frequently at risk for anterior segment ischemia following strabismus surgery, especially if large scleral buckles are present and/or surgery is required on multiple rectus muscles. Preoperative fluorescein iris angiography is helpful in assessing anterior segment circulation in blue-eyed patients.…”