Perioperative demographic data of the patients.

Purpose
Rhegmatogenous retinal detachment (RRD) requires timely treatment to prevent vision loss. Buckling surgery is a vital intervention; however, surgeon proficiency in buckling surgery is declining, and efforts are needed to preserve it. This study evaluated the efficacy of a standardized buckling surgical technique for primary RRD.
Methods
In total, 69 eyes were included. The technique involved placing #287 silicone tires in the retinal break regions with a 9–10-mm mattress suture positioned using the posterior edge of the rectus muscle insertion as a reference point. Circumferential buckling was performed using a silicone band (#240) and silicone sleeve (#270).
Results
The 6-month follow-up showed an initial anatomical success rate of 92.8%, which reached 100% at the final follow-up. The mean best-corrected visual acuity was 0.16 ± 0.45 pre-operation and 0.05 ± 0.24 at the 6-month follow-up (p = 0.05).
Conclusion
This technique utilizes the characteristics of the anatomical positional relationships between the scleral insertion of the lateral rectus muscle, which is reported to overlap with the vitreous base insertion, and the ora serrata and shows promise in identifying retinal breaks and determining buckling positions, indicating its potential effectiveness for the treatment of RRD. The favorable anatomical and visual outcomes support the potential usefulness of this technique in buckling surgeries.

研究目的：孔源性视网膜脱离（Rhegmatogenous Retinal Detachment, RRD）需及时接受治疗以避免视力丧失。巩膜扣带术是该疾病的关键干预手段，但目前外科医师的扣带术操作熟练度呈下降趋势，亟需采取措施以保留该技术的应用水平。本研究评估了标准化扣带手术技术治疗原发性孔源性视网膜脱离的有效性。

研究方法：本研究共纳入69只患眼。该手术技术的操作方案为：以直肌附着点后缘作为参考位点，在视网膜裂孔（retinal break）区域放置#287型硅胶垫（silicone tires），并采用9~10针褥式缝合（mattress suture）；使用#240型硅胶带（silicone band）与#270型硅胶套（silicone sleeve）实施环扎扣带术（circumferential buckling）。

研究结果：术后6个月随访显示，初始解剖复位成功率为92.8%，末次随访时解剖复位成功率达100%。术前平均最佳矫正视力（best-corrected visual acuity, BCVA）为0.16±0.45，术后6个月随访时为0.05±0.24（p=0.05）。

研究结论：该技术借助外直肌巩膜附着点（据报道该附着点与玻璃体基底部附着点存在重叠）、锯齿缘（ora serrata）三者间的解剖位置关系特征，可为视网膜裂孔定位及扣带位置确定提供可靠依据，显示出其治疗孔源性视网膜脱离的潜在有效性。本研究获得的良好解剖复位效果与视觉预后，证实了该技术在巩膜扣带术中的应用价值。