5 Key Takeaways

• 1

  Scleral buckling (SB) is being reconsidered for phakic patients with rhegmatogenous retinal detachment (RRD) due to its superior visual outcomes compared to pars plana vitrectomy (PPV).

• 2

  Numerous studies show SB results in better best-corrected visual acuity and lower cataract progression rates than PPV in phakic eyes.

• 3

  Modern SB techniques, particularly nondrainage methods, enhance safety and precision while minimizing complications associated with traditional approaches.

• 4

  Advancements in visualization tools have improved the accuracy of SB procedures, facilitating better identification and treatment of retinal breaks.

• 5

  Scleral buckling is particularly beneficial for young, phakic individuals and in chronic or pediatric cases, offering better anatomical and functional outcomes.