Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal&amp;nbsp;detachment

Yokoyama, Toshiyuki; Kanbayashi, Koki; Yamaguchi, Tomoyuki

doi:10.2147/opth.s75648

Cited by 30 publications

(31 citation statements)

References 13 publications

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“…Possible disadvantages of this surgical method include light toxicity, lens damage, vitreous loss during surgery, and infective endophthalmitis [ 12 ]. In our small case series, we did not observe chandelier-related serious complications, such as vitreous hemorrhage, endophthalmitis, hypotony, or lens touch.…”

Section: Discussionmentioning

confidence: 99%

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: Discussionmentioning

confidence: 99%

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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“…There are several reasons why the WAVS is becoming more commonly used for scleral buckling surgery to treat RRDs. 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 In general, the success rate with WAVS is almost equal to that with indirect ophthalmoscopy-guided buckling surgery. In some reports, the surgical duration was significantly shorter with WAVS than with conventional scleral buckling surgery.…”

Section: Discussionmentioning

confidence: 94%

“… 3 , 4 , 5 Many recent studies have reported that the non-contact WAVS combined with endoillumination is an effective way to view the surgical field during scleral buckling surgery for RRDs. 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 Although its usefulness compared to an indirect ophthalmoscopy-guided surgery has been suggested, there has been only one report on the complications related to its use. 15 More specifically, the development of infectious endophthalmitis has not been reported in spite of the use of a chandelier endoilluminator that is inserted through the conjunctiva which is most septic site for infectious intraocular organisms.…”

Section: Introductionmentioning

confidence: 99%

Acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoillumination

Sakono

Otsuka

Shiihara

et al. 2017

American Journal of Ophthalmology Case Reports

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PurposeThe non-contact wide-angle viewing system (WAVS) with chandelier endoillumination is being used more commonly during scleral buckling surgery for rhegmatogenous retinal detachments although its safety has not been established. We report our findings in a case of bacterial endophthalmitis that developed after scleral buckling surgery with WAVS and chandelier endoillumination.ObservationsA 42-year-old man underwent scleral buckling surgery for a rhegmatogenous retinal detachment in his right eye using a WAVS with chandelier endoillumination. Three days after the surgery, the patient noticed a marked decrease in his vision with ocular pain. Slit-lamp examination showed dense infiltration in the anterior chamber and vitreous body. Pars plana vitrectomy with antibiotic irrigation was done immediately, and Staphylococcus epidermidis was detected in the vitreous fluid. After vancomycin 6/day for 4 weeks, the inflammation gradually subsided, and the visual acuity recovered to 20/20 in 3 months.Conclusions and importanceAcute bacterial endophthalmitis can develop after scleral buckling surgery performed with WAVS and chandelier endoillumination.

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“…Possible disadvantages of this surgical method include iatrogenic lens damage, vitreous herniation at the chandelier illuminator insertion site, infective endophthalmitis, and phototoxicity [27]. However, the inserted intraocular chandelier illuminator, which is as short as 4 mm in length, can help us avoid damage or touch the lens.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Scleral Buckling with a Wide-Field Surgical Microscope and Chandelier Illumination in Retinal Detachment Repair

Jeon

Han

2019

Ophthalmologica

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Purpose: To assess treatment efficacy of scleral buckling surgery with wide-field surgical microscope and 27-gauge (G) chandelier illumination for rhegmatogenous retinal detachment (RRD). Methods: This study is a retrospective chart review of 29 eyes in 29 patients with RRD who underwent scleral buckling surgery with a wide-field surgical microscope and 27-G chandelier illumination fiber inserted into the sclera at the pars plana. Results are expressed as mean ± standard deviation. Data were analyzed using the paired sample t test. Statistical significance was considered if p value was less than 0.05. Results: The mean age of patients was 43.5 ± 3.5 years, and the mean follow-up time was 10.4 ± 2.5 months. Retinal reattachment was achieved in 27 of 29 eyes at initial surgery. The mean best corrected visual acuity improved from 0.38 ± 0.29 (logMAR) preoperatively to 0.19 ± 0.21 at 6 months after surgery. Two eyes underwent vitrectomy with silicone oil tamponade because of development of proliferative vitreoretinopathy. There was no complication such as choroidal hemorrhage, hypotony, or vitreous herniation at the end of surgery. Conclusion: Scleral buckling with a wide-field surgical microscope and 27-G chandelier illumination has the advantage of offering exact identification of retinal tears and determination of the adequacy of buckle height and position in retinal detachment surgery compared to conventional scleral buckling surgery.

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Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal detachment

Cited by 30 publications

References 13 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

Acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoillumination

Effectiveness of Scleral Buckling with a Wide-Field Surgical Microscope and Chandelier Illumination in Retinal Detachment Repair

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