Abstract
Scleral buckles have important biomechanical effects on the eye when used for the treatment of rhegmatogenous retinal detachments. These include changes in the axial length, volume, refractive error, and ocular rigidity. Indentation of the peripheral retina by the scleral buckle helps to relieve vitreous traction on retinal tears and decrease fluid movement into the subretinal space. Scleral buckles combined with drainage of subretinal fluid and creation of a chorioretinal adhesions help to promote retinal reattachment. Understanding the effects of scleral buckles assists the retinal surgeon in choosing the appropriate buckle and technique for a variety of retinal detachment types.
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