Endoillumination (chandelier) assisted scleral buckling for a complex case of retinal detachment

Temkar, Shreyas; Takkar, Brijesh; Azad, Shorya Vardhan; Venkatesh, Pradeep

doi:10.4103/0301-4738.195603

Cited by 7 publications

(10 citation statements)

References 10 publications

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“…A 360° peritomy and extraocular muscle bridling was followed by placement of 25 gauge self-retaining endoilluminator either in a quadrant opposite to the suspected break or else in inferotemporal quadrant. Under high microscopic magnification and through volk Reinverting Operating Lens Systemand wide angle viewing system (WAVS), break was localised using indentation, marked and cryopexy was performed[ 2 ] [ Fig. 1 ].…”

Section: Methodsmentioning

confidence: 99%

Endoilluminator-assisted scleral buckling: Our results

Gogia

Venkatesh

Gupta

et al. 2014

Indian J Ophthalmol

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Aims:The aim was to evaluate the long-term surgical outcomes of endoillumination assisted scleral buckling (EASB) in primary rhegmatogenous retinal detachment (RRD).Methods:Twenty-five eyes of 25 patients with primary RRD and proliferative vitreoretinopathy ≤C2 where any preoperative break could not be localised, were included. All patients underwent 25 gauge endoilluminator assisted rhegma localisation. Successful break determination was followed by cryopexy and standard scleral buckling under surgical microscope. Anatomical and functional outcomes were evaluated at the end of 2 years.Results:At least one intraoperative break could be localized in 23 of 25 (92%) eyes. Median age of these patients was 46 years (range: 17-72). Thirteen eyes (56.52%) were phakic, 8 (34.78%) were pseudophakic and 2 (8.6%) were aphakic. Anatomical success (attachment of retina) was achieved in 22 (95.63%) of 23 eyes with EASB. All eyes remained attached at the end of 2 years. Significant improvement in mean visual acuity (VA) was achieved at the end of follow-up (1.09 ± 0.46 log of the minimum angle of resolution [logMAR]) compared with preoperative VA (1.77 ± 0.28 logMAR) (P < 0.001).Conclusion:EASB can be considered an effective alternative to vitreoretinal surgery in simple retinal detachment cases with the added advantage of enhanced microscopic magnification and wide field illumination.

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Section: Methodsmentioning

confidence: 99%

Endoilluminator-assisted scleral buckling: Our results

Gogia

Venkatesh

Gupta

et al. 2014

Indian J Ophthalmol

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“…There are three procedures commonly used for repair of primary rhegmatogenous retinal detachment: conventional buckling, pneumatic retinopexy, pars plana vitrectomy or a combination of these procedures. 1,2 With advances in surgical techniques and instrumentation, vitrectomy is being used more frequently in the initial management of retinal detachments.…”

Section: Introductionmentioning

confidence: 99%

Modified Scleral Buckling With a Non-Contact Wide Angle Viewing System and a 25g Chandelier Endoillumintor

Jahangir¹,

Tayyab²,

Naeem³

et al. 2016

Annals KEMU

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Purpose:To evaluate the outcome of scleral buckling surgery using a wide angle non-contact viewing system and chandelier endoillumination for per-operative fundus visualization in patients with non-complex rhegmatogenous retinal detachments.Materials and Methods:This was a prospective, interventional study carried out at the Department of Ophthalmology, Mayo Hospital Lahore over a period of six months. Non-probability convenience sampling technique was employed. Fifteen eyes of fifteen pati-ents underwent modified scleral buckling procedure for rhegmatogenous retinal detachment using a 25G Awh Chandelier (inserted into the sclera through the pars plana) and wide angle viewing system to view the fundus intraoperatively instead of the conventional Indirect Ophthalmoscope.Results:The mean age of the patients in this study group was 41.9 12.4 years. Out of fifteen patients, 13 had flat retinas postoperatively. Two patients had to undergo pars plana vitrectomy with silicone oil tamponade due to development of retinal detachment secon-dary to PVR.Conclusion:Modified scleral buckling with the con-current use of a chandelier light and wide angle viewing system provides an easier and more convenient means of visualizing the fundus under panoramic viewing conditions intraoperatively.Key Words:Wide angle viewing system. Retinal detachment. Scleral buckling. Endoillumination.

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“…Using a chandelier during scleral buckling helps us to visualize the retina better with better magnification and illumination. [10] These advantages of chandelier-assisted scleral buckle helped us to locate the break over the foreign body.…”

Section: Discussionmentioning

confidence: 99%

Chandelier-assisted scleral buckling in an eye with longstanding inert foreign body with fresh rhegmatogenous retinal detachment

Kumar¹,

Konana²,

Kanakamedla³

et al. 2019

Indian J Ophthalmol

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Intraocular foreign bodies (IOFBs) present in varied manners which in turn necessitate their removal in majority of the cases. A stone foreign body can remain inert inside the eye for years. Retinal detachment in eyes following penetrating trauma with an IOFB is common, but a combination of fresh rhegmatogenous retinal detachment in an eye with a longstanding inert stone foreign body is extremely rare. We report a case of a 50-year-old male with rhegmatogenous retinal detachment with a longstanding stone foreign body, where we managed such a scenario with a chandelier-assisted, sutureless, scleral buckle without removing the stone foreign body.

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Endoillumination (chandelier) assisted scleral buckling for a complex case of retinal detachment

Cited by 7 publications

References 10 publications

Endoilluminator-assisted scleral buckling: Our results

Endoilluminator-assisted scleral buckling: Our results

Modified Scleral Buckling With a Non-Contact Wide Angle Viewing System and a 25g Chandelier Endoillumintor

Chandelier-assisted scleral buckling in an eye with longstanding inert foreign body with fresh rhegmatogenous retinal detachment

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