Scleral Buckling Surgery: Rare but Serious Complications

Scleral buckling is a common retinal detachment repair with a high success rate. However, patients should be aware of potential complications, though they are infrequent:

Potential Complications

• Recurrent Retinal Detachment: The retina may re-detach, requiring additional surgery. This is the most common serious complication.
• Choroidal Detachment: Fluid accumulates between the choroid and sclera, causing pain, vision loss, and potential glaucoma.
• Suprachoroidal Hemorrhage: Bleeding in the suprachoroidal space, which can lead to vision loss and elevated intraocular pressure.
• Infection (Endophthalmitis): Rare but sight-threatening; requires immediate antibiotic treatment.
• Glaucoma: Increased eye pressure from inflammation or surgical changes, potentially damaging the optic nerve.
• Cataract Formation: Accelerated lens clouding, especially if gas or silicone oil is used during surgery.
• Double Vision (Diplopia): Temporary or permanent misalignment from muscle imbalance or buckle placement.
• Buckle Extrusion or Infection: The silicone band may erode through the conjunctiva, requiring removal.

Most complications are manageable with prompt detection. Regular postoperative follow-ups are crucial. Discuss your individual risk factors with your retinal surgeon.