In 1986 Hilton introduced the technique of pneumatic retinopexy (PR) to treat RRDs with retinal breaks in the superior eight clock hours of the retina. The first invention of vitrectomy and its modification during the 1970s made a big revolution in retinal detachment repair surgery. Using all these techniques, modern scleral buckling procedure has resulted in an improved anatomical success rate, especially when it is performed in fresh retinal detachment. introduced the silicone sponge buckle and modern cryotherapy in 1960. ![]() Schepens developed the modern binocular indirect ophthalmoscope with a scleral depressor in 1945, which added a lot to retinal detachment repair surgeries, using that he performed the first buckling surgery in the United States. Building on his theories, Ernst Custodis performed the first scleral buckling surgery in 1949. Jules Gonin performed the first successful retinal detachment surgery after accurate localization of retinal breaks, drainage of SRF and thermocautery in the beginning of the last century. ![]() Over the last century, several techniques have been used in the surgical treatment of RRD. The reported incidence rates of RRD vary from around 8–14/100 000 persons per year in different countries. Rhegmatogenous retinal detachment (RRD) occurs when there is a separation of the neurosensory retina from the retinal pigment epithelium (RPE) with the accumulation of subretinal fluid (SRF) in the presence of one or more retinal breaks.
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