title: Primary 360° Broad Buckling in Retinal Detachment.
abstract: BACKGROUND
  Chronic rhegmatogenous retinal detachment behaves like proliferative vitreo-retinopathy (PVR) even without evidence of the same. Surgery could be done either with conventional buckling procedures where the extent of buckling is determined by the number and location of the breaks or by primary vitreous surgery. In this study these cases were managed with primary 360°encircling broad buckle without a vitreous procedure.
  
  
  METHODS
  210 eyes, with rhegmatogenous retinal detachment of more than six months duration and with PVR up to C3 (CP3 focal) were subjected to buckling surgery. Trans-scleral cryopexy of the breaks, 360°encircling buckle with a 276 - 279 tire and subretinal fluid drainage was performed.
  
  
  RESULTS
  Most (85.74%) of the eyes showed anatomical retinal re-attachment.
  
  
  CONCLUSIONS
  Primary broad encircling buckling can be conducted successfully in cases of long standing retinal detachment.
authors.affiliation: Reader (Department of Ophthalmology), AFMC, Pune 40.
authors.forename: V S
authors.initials: VS
authors.lastname: Gurunadh
authors.affiliation: Professor & Head (Department of Ophthalmology), AFMC, Pune 40.
authors.forename: A
authors.initials: A
authors.lastname: Banarji
authors.affiliation: Senior Advisor (Ophthalmology), Command Hospital (NC), C/o 56 APO.
authors.forename: T S
authors.initials: TS
authors.lastname: Ahluwalia
authors.affiliation: Senior Advisor (Ophthalmology & Anterior Segment Microsurgery), AFCME, New Delhi.
authors.forename: A K
authors.initials: AK
authors.lastname: Upadhyay
authors.affiliation: Reader (Department of Ophthalmology), AFMC, Pune 40.
authors.forename: S
authors.initials: S
authors.lastname: Patyal
authors.affiliation: Assoc Prof (Department of Ophthalmology), AFMC, Pune 40.
authors.forename: M
authors.initials: M
authors.lastname: Bhadauria
keywords: Proliferative vitreo-retinopathy; Retinal re-attachment; Rhegmatogenous retinal detachment; Scleral buckling; Vitreous replacement