Material and Methods: A prospective study conducted at the X Hospital, between 2012 and 2018, included 13 patients (11 males, 2 females) with a mean age of ± 20 years. All patients, young individuals with myopia, underwent scleral buckling for rhegmatogenous retinal detachment and developed band intrusion. A detailed history and examination were performed. Band intrusion-related complications, such as redetachment, indicated the need for surgical intervention.

Results: The duration between scleral buckling and band intrusion ranged from ± 6 years. All buckles were placed in the intrascleral postition. Among the 13 patients, 6 had band intrusion with shallow retinal detachment. Of these, 3 patients underwent external band removal and laser treatment before and after surgery; 1 patient had retinal redetachment with a giant retinal tear (GRT) and underwent pars plana vitrectomy with internal band removal; 2 patients received laser treatment only. The remaining 7 patients were observed. The retina was flat in all patients, and visual acuity remained stable.

Conclusion: Scleral buckle intrusion, though rare, can cause serious complications like redetachment, vitreous hemorrhage, uveitis, and endophthalmitis. Surgical intervention may salvage the eye but may not improve functional status. Intervene only if the eye?s integrity is at risk; otherwise, the intruding buckle may be left alone. Meticulous scleral buckling and lifelong follow-up are essential to avoid buckle-related complications. Keywords : scleral buckling, band intrusion, redetachment, pars plana vitrectomy