Based on the study results, the COVID-19 pandemic has led to a further reduction in the number of SB procedures performed, along with lowered confidence levels in performing these. The SB versus Primary Vitrectomy in RRD study was a prospective, randomised, multicenter trial that aimed to assess the outcomes of primary SB compared to primary PPV in cases of medium complexity RRDs. Scleral buckling (SB) has served as an important modality for addressing rhegmatogenous retinal detachments (RRD) for over 60 years.[1] Historically, RRDs were deemed irreparable; however, in the early 20th century, ophthalmologists like Gonin, Schepens and Lincoff introduced techniques to seal retinal breaks.[[1]] Custodis first described the SB technique.[1] Modern SB refined by Schepens resolves RRDs by using an encircling band to reduce vitreoretinal traction and promote chorioretinal adhesions via an indentation effect.[[1],[3]] With the advent of pars plana vitrectomy (PPV), there has been a preference shift in the repair of RRDs.[Extracted from the article]

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