Editing Retinal detachment (section)

=== Scleral buckle surgery ===
[[Scleral buckle]] surgery is a procedure in which one or more silicone bands are placed around the outer layer of the eye, known as the [[sclera]].<ref name="nhs" /><ref name=":1" /> The procedure typically begins with freezing ([[cryotherapy]]) to seal retinal tears.<ref name=":7" /><ref name=":18" /> Next, the silicone band is placed to create an indentation on the sclera, applying inward pressure that helps reattach the retina to the back of the eye.<ref name="nhs" /><ref name=":4" /><ref name=":1" /><ref name=":6" /> After surgery, the person is often positioned in a prone position to reduce the risk of hemorrhages by preventing blood from reaching the macula.<ref>{{Cite journal |last1=Fallico |first1=Matteo |last2=Alosi |first2=Pietro |last3=Reibaldi |first3=Michele |last4=Longo |first4=Antonio |last5=Bonfiglio |first5=Vincenza |last6=Avitabile |first6=Teresio |last7=Russo |first7=Andrea |date=2022-01-09 |title=Scleral Buckling: A Review of Clinical Aspects and Current Concepts |journal=Journal of Clinical Medicine |language=en |volume=11 |issue=2 |pages=314 |doi=10.3390/jcm11020314 |doi-access=free |pmc=8778378 |pmid=35054009}}</ref> The band typically remains in place permanently unless complications occur.<ref name=":1" /> During the procedure, subretinal fluid may also be drained, though it is sometimes left to reabsorb naturally.<ref name=":1" /><ref name=":6" /> This approach is often preferred for younger patients, those who have not undergone [[cataract surgery]], those without [[Posterior vitreous detachment|posterior vitreous detachment (PVD)]], and those with retinal dialysis, a type of tear commonly caused by trauma.<ref name=":1" /><ref name=":6" /><ref name=":13" /><ref name=":18" /> Possible complications of this procedure include missed retinal breaks, improper positioning of the buckle, infection, inflammation, and [[Diplopia|double vision]] immediately after surgery, which typically resolves on its own.<ref name=":1" /><ref name=":6" /><ref name=":18" /> Scleral buckling can also be combined with [[vitrectomy]] for specific cases.<ref name=":7" /><ref name=":13" />