Surgical technique for the placement of an encircling scleral buckle in the presence of a glaucoma drainage device.
OBJECTIVE
The purpose of this study was to present a new surgical technique that facilitates placement of an encircling scleral buckle in a patient with a previously placed Baerveldt glaucoma implant who developed a retinal detachment due to a giant retinal tear.


METHODS
Case report of patient with previous Baerveldt glaucoma implant and a retinal detachment associated with a giant retinal tear who was managed with an encircling scleral buckle and pars plana vitrectomy. The encircling band was attached to the Baerveldt glaucoma implant to incorporate as a component of the encircling scleral buckle.


RESULTS
Reattachment with typical encircling effect without intraocular pressure complications was achieved.


CONCLUSIONS
This technique offers an option for management of retinal detachment in the presence of a Baerveldt glaucoma implant.
From the *Department of Ophthalmology, Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea; and †Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida.
Sung Soo
SS
Kim
William E
WE
Smiddy