Scleral Buckling for Rhegmatogenous Retinal Detachment Using Vitrectomy-Based Visualization Systems and Chandelier Illumination

Nagpal, Manish; Bhardwaj, Sidharth; Mehrotra, Navneet

doi:10.1097/apo.0b013e3182929b75

Cited by 29 publications

(21 citation statements)

References 32 publications

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“…The anatomical success rate for a single surgery was 94.1% (16 / 17). This rate is higher than the known primary success rate (approximately 80%) of conventional scleral buckling [ 2 ], and is consistent with previous reports ( Table 2 ) [ 2 5 8 9 ]. PPV was performed on one eye because of a failure of buckling.…”

Section: Resultssupporting

confidence: 92%

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Scleral Buckling Using a Non-contact Wide-Angle Viewing System with a 25-Gauge Chandelier Endoilluminator

Moon

Lee

2017

Korean J Ophthalmol

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PurposeTo report the outcome of scleral buckling using a non-contact wide-angle viewing system with a 25-gauge chandelier endoilluminator.MethodsRetrospective analyses of medical records were performed for 17 eyes of 16 patients with primary rhegmatogenous retinal detachment (RRD) without proliferative vitreoretinopathy who had undergone conventional scleral buckling with cryoretinopexy using the combination of a non-contact wide-angle viewing system and chandelier endoillumination.ResultsThe patients were eight males and five females with a mean age of 26.8 ± 10.2 (range, 11 to 47) years. The mean follow-up period was 7.3 ± 3.1 months. Baseline best-corrected visual acuity was 0.23 ± 0.28 logarithm of the minimum angle of resolution units. Best-corrected visual acuity at the final visit showed improvement (0.20 ± 0.25 logarithm of the minimum angle of resolution units), but the improvement was not statistically significant (p = 0.722). As a surgery-related complication, there was vitreous loss at the end of surgery in one eye. As a postoperative complication, increased intraocular pressure (four cases) and herpes simplex epithelial keratitis (one case) were controlled postoperatively with eye drops. One case of persistent RRD after primary surgery needed additional vitrectomy, and the retina was postoperatively attached.ConclusionsScleral buckling with chandelier illumination as a surgical technique for RRD has the advantages of relieving the surgeon's neck pain from prolonged use of the indirect ophthalmoscope and sharing the surgical procedure with another surgical team member. In addition, fine retinal breaks that are hard to identify using an indirect ophthalmoscope can be easily found under the microscope by direct endoillumination.

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Section: Resultssupporting

confidence: 92%

“…They were treated with IOP-lowering agents and a systemic antiviral agent, respectively. A comparison of these results with other previously reported studies is shown in Table 2 [ 2 5 8 9 ].…”

Section: Resultssupporting

confidence: 73%

Scleral Buckling Using a Non-contact Wide-Angle Viewing System with a 25-Gauge Chandelier Endoilluminator

Moon

Lee

2017

Korean J Ophthalmol

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“…Later in 2013, Nam et al[10] and Nagpal et al[11] published case series regarding a similar technique using a 25-gauge chandelier but a contact (as opposed to non-contact) viewing system, with good results. Nam et al used a contact wide-field lens (Mini Quad; Volk, Mentor, OH, USA) to treat primary RD in 12 patients.…”

Section: Endoillumination-assisted Scleral Bucklingmentioning

confidence: 99%

Scleral buckling with chandelier illumination

Seider¹,

Nomides²,

Hahn³

et al. 2016

J Ophthalmic Vis Res

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Scleral buckling is a highly successful technique for the repair of rhegmatogenous retinal detachment that requires intra-operative examination of the retina and treatment of retinal breaks via indirect ophthalmoscopy. Data suggest that scleral buckling likely results in improved outcomes for many patients but is declining in popularity, perhaps because of significant advances in vitrectomy instrumentation and visualization systems. Emerging data suggest that chandelier-assisted scleral buckling is safe and has many potential advantages over traditional buckling techniques. By combining traditional scleral buckling with contemporary vitreoretinal visualization techniques, chandelier-assistance may increase the popularity of scleral buckling to treat primary rhegmatogenous retinal detachment for surgeons of the next generation, maintaining buckling as an option for appropriate patients in the future.

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“…[567] After early reports of surgical success with the chandelier endoilluminator[8] and overcoming initial concerns of complications such as endophthalmitis, iatrogenic tears, and lens touch,[9] EASB has now gained popularity as it obviates the need for intraocular surgery (PPV) and makes fundus visualization easier for the surgeon. [11011] However, its applications, including our own experience,[1] till now have been limited majorly to simple cases of RD, without other ocular comorbidity. This case shows that EASB can be a good treatment modality for RD where PPV is expected to have a complicated course.…”

Section: Discussionmentioning

confidence: 99%

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

Temkar

Takkar

Azad

et al. 2016

Indian J Ophthalmol

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Endoilluminator-assisted scleral buckling combines the advantages of scleral buckling for its external approach and pars plana vitrectomy for its better visual visualization in the management of retinal detachment (RD). It has recently been proven to be safe and efficacious in simple cases. This report discusses successful management of a complex case of RD in a patient with the single functioning eye, where vitrectomy was expected to have a complicated course.

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Scleral Buckling for Rhegmatogenous Retinal Detachment Using Vitrectomy-Based Visualization Systems and Chandelier Illumination

Cited by 29 publications

References 32 publications

Scleral Buckling Using a Non-contact Wide-Angle Viewing System with a 25-Gauge Chandelier Endoilluminator

Scleral Buckling Using a Non-contact Wide-Angle Viewing System with a 25-Gauge Chandelier Endoilluminator

Scleral buckling with chandelier illumination

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

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