Clinical efficacy evaluation of conjunctival incision away from the limbus in scleral buckling surgery

Objective To investigate the feasibility and efficacy of limbal conjunctival away from the scleral incision surgery application. Method 38 cases with retinal detachment appropriate to the simply scleral buckling surgery, conjunctival incision election in quadrant retinal hole, 10 mm from the edge of the cornea position, the traction lines were present to parallel or perpendicular to the corneal limbus according to the size of the hole incision, silicone sponge scleral sutures pressure, fundus examination to ensure that the correct hole crest relationship. Tenon capsule and bulbar conjunctiva were sutured respectively, and the retinal reattachment and postoperative complications were observed. Result Conjunctival incision healed completely at the end of follow-up, retinal improvement was 1 eye, reset failed was 1 eye, recurrence was 4 eyes, reduction rate was 90.00%; 36 eyes vision improved after surgery, 3 eyes unchanged, 1 eye eyesight increased, those were significantly difference compared with the preoperative(P 0.05). Conclusion The retinal detachment surgery with limbal conjunctival away from the scleral incisionhas small trauma, and were in the same reset rate with conventional conjunctival incision surgery, it was worthy promoting.