title: The scleral buckling of primary rhegmatogenous retinal detachment under the surgical microscope.
abstract: OBJECTIVE
  To analyze the feasibility of performing scleral buckle under the surgical microscope without using the indirect ophthalmoscope.
  
  
  METHODS
  Data came from 342 eyes of 339 patients with primary rhegmatogenous retinal detachment (RRD) that were suitable for scleral buckling. All surgeries were performed under the surgical microscope including examination and localization of retinal breaks, scleral buckling, and retinal cryotherapy.
  
  
  RESULTS
  During intraoperative examination, additional retinal breaks were found in 39 cases. Among 36 eyes in which a retinal break was not observed pre-operatively, 23 cases had retinal breaks detected during surgery. The anatomic success rate after one operation was 88.9% and the final success rate was 98.0%.
  
  
  CONCLUSIONS
  Scleral buckling of RRD with equatorial or pre-equatorial breaks can be easily done under the surgical microscope, which has the merits that the surgeon's view is a clear upright image, manipulations are simple, and good surgical results can be obtained.
authors.affiliation: Department of Ophthalmology, The Second Affiliated Hospital of Harbin Medical University, Heilongjiang, China.
authors.forename: Zhongyu
authors.initials: Z
authors.lastname: Zhang
authors.forename: Xiaolei
authors.initials: X
authors.lastname: Liang
authors.forename: Dawei
authors.initials: D
authors.lastname: Sun
authors.forename: Shaomin
authors.initials: S
authors.lastname: Peng
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D017679:Cryotherapy / Q000295:instrumentation; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008853:Microscopy; D008866:Microsurgery / Q000295:instrumentation*; D008875:Middle Aged; D012163:Retinal Detachment / Q000209:etiology* / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000009:adverse effects / Q000379:methods*; D018630:Vitreoretinopathy, Proliferative / Q000209:etiology; D055815:Young Adult