Scleral buckling versus vitrectomy: can the trend be reversed suprachoroidally?

Excerpt

Some say that younger retinal surgeons are becoming de-skilled in scleral buckling (SB) surgery. Increasingly and throughout the world, the trend is to treat rhegmatogenous retinal detachments using vitrectomy [1, 2]. Yet the consensus is that there is a continuing role for SB [3]; the evidence base is that some groups of patients may achieve better vision receiving primary SB rather than vitrectomy [4, 5]. It has been suggested that the only way to reverse this trend is to make the skill set for scleral buckling more like those of vitrectomy. In this issue, El Rayes and colleagues have introduced a novel method of suprachoroidal buckling which employ techniques that might be familiar to many vitrectomy surgeons [6]. …