Removal of Scleral Buckle?

I received surgery to repair a detached retina in Febuary, where the tear was sealed by cryotherapy. There was no oil inserted into the eye. I was told by the surgon this week, that I do not need to be seen by him for 1 year (check-up). He stated that I am healing well, and says everything looks good. He also said I have 20/70 vision. But in order to keep my job, I must have at least 20/40. So after that disheartening conversation, I went to see my optometrist who agreed with the surgon about me having 20/70 vision. He stated that it is very possible that my vision will not get better (which was also said by my surgon). My optometrist said because the buckel squeezes the eyeball into an oval that the distance from my front of my eye to the back is longer than normal, the eye cant focus because of the distance between the two. So my question is, why cant the buckel be removed to correct the distance inside the eye?

Removal of Scleral Buckle?
The amount of vision you have, how good you see, how well you see...is the 20/70 value.





That is the level of vision you have when you have a correction. The reason you don't see better is damage to the retina back there (macula) or from possibly an opacity of the lens.





An increased axial length does not make you have worse vision. Might make you a little more myopic or nearsighted, but it doesn't change the 'quality' of vision.





The buckle does not constrict the eye like in your question. IT does not Squeeze the eye, at all! If a buckle does, it won't last very long because of the secondary vascular changes, pressure necrosis, lots of pain...





the buckle is placed to push the wall of the eye inward which when placed below the tear, allows the wall of the eye to support the tear while it heals from the cryo or freezing, which seals the tear. The high point of the buckle usually does not extend all the way around the eye. Only a portion is wide and high, the rest is buckled under a small band, which also causes a buckle or elevation effect on the inside eye, but doesn't constrict it like pulling your belt in real tight.





Once the tear is supported, yes the buckle can be removed. That does remove the support and you could again get new tears if there's a traction component in the retinal detachment.





Give yourself some more time. Most patients stabilize as far as vision goes by 6 months, but I've seen people get better up to 3 years after a buckle.
Reply:yeah removing the buckle is a bad idea. thats one of the things holding your retina on right now.





and no guarantee it would get better anyway, even if removed.



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