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Development of a New Scleral Depressor for Determining the Location of a Buckle during Scleral Buckling Surgery
Journal of Retina 2018;3(2):71-75
Published online November 30, 2018
© 2018 The Korean Retina Society.

Ji Yoon Kwak1, Yun Taek Kim2

1Department of Ophthalmology, Ewha Womans University School of Medicine, Seoul, Korea
2Cheonan Kim’s Eye Clinic, The Head Office, Cheonan, Korea
Correspondence to: Yun Taek Kim, MD, PhD
Cheonan Kim’s Eye Clinic, The Head Office, #92 Jungang-ro, Dongnam-gu, Cheonan 31127, Korea
Tel: 82-41-551-1082, Fax: 82-41-555-2051
Received June 22, 2018; Revised July 19, 2018; Accepted July 30, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: To develop and characterize a new scleral depressor that can more accurately determine the location of a scleral buckle.
Methods: A light source was added to the center of the compression area of a sickle-shaped depressor, which was then used in scleral buckling surgeries. After examining the inner side of the eyeball with an indirect ophthalmoscope, the center of the compressed region was verified using transillumination. Based on the location of the retinal break, the surgeon implanted the buckle at the compressed region. Six patients were treated with the new depressor.
Results: During surgery, the new depressor accurately located the position of the retinal break on the scleral side. In the first patient, the center of the break was located at the top of the buckle because the posterior border of the break was not sufficiently protruded; therefore, intravitreal gas injection was performed after surgery. In the five remaining patients, the center of the buckle was located at the posterior border of the break. The retinas were well-flattened in all patients.
Conclusions: The new depressor accurately identified the position of retinal break on the scleral side.
Keywords : Retina; Retinal break; Rhegmatogenous retinal detachment; Scleral buckling; Vitreoretinal surgery

November 2018, 3 (2)
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