Observational analysis examines outcomes of scleral buckling in 4-year-olds, suggesting careful consideration for removal decisions.
Images in Pediatric OphthalmologyDecision Dilemma: To Remove or Not to Remove the Buckle in a 4-Year-Old Girl Nancy Arias-González, MD, ; , MD Giselle DeOliveira, BFA, ; , BFA Audina M. Berrocal, MD, , MD Nancy Arias-González, MD , Giselle DeOliveira, BFA , and Audina M. Berrocal, MD Address correspondence to Audina M. Berrocal, MD, Bascom Palmer Eye Institute, 900 NW 17th Street, Miami, FL 33136; email: E-mail Address: [email protected]. Journal of Pediatric Ophthalmology & Strabismus, 2025;0(0):1Cite this articlePublished Online:August 26, 2025https://doi.org/10.3928/01913913-20250724-09 View Full TextPDF ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookxLinkedInRedditEmailBluesky SectionsMore"Decision Dilemma: To Remove or Not to Remove the Buckle in a 4-Year-Old Girl." Journal of Pediatric Ophthalmology & Strabismus, , p. 11.Trese MT. Scleral buckling for retinopathy of prematurity. Ophthalmology. 1994; 101(1):23–26. 10.1016/S0161-6420(94)31362-5 PMID:8302558 > Crossref MedlineGoogle Scholar2.Choi MY, Yu YS. Efficacy of removal of buckle after scleral buckling surgery for retinopathy of prematurity. J AAPOS. 2000; 4(6):362–365. 10.1067/mpa.2000.109315 PMID:11124672 > Crossref MedlineGoogle Scholar3.Sato T, Kawasaki T, Okuyama M, Ideta H. Refractive changes following scleral buckling surgery in juvenile retinal detachment. Retina. 2003; 23(5):629–635. 10.1097/00006982-200310000-00004 PMID:14574246 > Crossref MedlineGoogle Scholar4.Shah KK, Rishi E, Bhende P, Rishi P, Sharma T. To remove the buckle or watch? Indian J Ophthalmol. 2019; 67(6):973–974. 10.4103/ijo.IJO_712_18 PMID:31124538 > Crossref MedlineGoogle Scholar Previous article Next article FiguresReferencesRelatedDetails Request Permissions InformationCopyright 2025, SLACK IncorporatedPDF download • 636.9 KBAddress correspondence to Audina M. Berrocal, MD, Bascom Palmer Eye Institute, 900 NW 17th Street, Miami, FL 33136; email: Aberrocal@med.miami.edu.From the University of Miami Health System Bascom Palmer Eye Institute, Miami, Florida.Disclosure: AMB is a consultant for Alcon Laboratories, Inc, Allergan, Inc, Carl Zeiss Meditec AG, Dutch, Ophthalmic Research Center, Novartis, ProQR, and Oculus Optikgeräte GmbH. The remaining authors have disclosed no potential conflicts of interest, financial or otherwise. Received4/23/25Accepted7/24/25Published online8/26/25
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