Scleral buckling with a noncontact wide-angle viewing system in the management of retinal detachment with undetected retinal break: a case report

Kita, Mihori; Fujii, Yukiko; Kawagoe, Naoaki; Hama, Sachiyo

doi:10.2147/opth.s42923

Cited by 31 publications

(39 citation statements)

References 13 publications

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“…Previously, a pediatric case of retinal detachment with preoperatively undetected retinal tear was successfully treated by scleral buckling using 25-gauge chandelier illumination combined with the wide-angle viewing system. 12 Clear visualization helped to identify the preoperatively undetected retinal tear in our Cases 1 and 2. A series of 16 cases of retinal detachment were treated by scleral buckling using the noncontact wide-angle viewing system combined with 25-gauge chandelier illumination.…”

Section: Discussionmentioning

confidence: 79%

Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal detachment

Yokoyama¹,

Kanbayashi²,

Yamaguchi³

2015

OPTH

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PurposeTo assess the treatment of pediatric patients with rhegmatogenous retinal detachment (RRD) by scleral buckling with chandelier illumination.MethodsThree eyes were treated in three patients, healthy boys aged 7 years, 12 years, and 11 years, with RRD, macular involvement, and small retinal holes, of which two were preoperatively undetectable. Conventional scleral buckling with cryoretinopexy was performed under the contact lens for vitreous surgery or noncontact wide-angle viewing system using 27-gauge twin chandelier illumination.ResultsThe only known predisposing factor for retinal detachment was myopia stronger than 3 D with lattice retinal degeneration in two of the three patients. Retinal reattachment was achieved in all cases without intra- or postoperative complications. However, visual recovery was limited in one of the three patients.ConclusionScleral buckling with chandelier illumination is effective for pediatric RRD, especially if the retinal hole is difficult to detect preoperatively. However, visual recovery was sometimes limited because of macular involvement due to late diagnosis, which is one of the characteristic features of pediatric RRD.

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Section: Discussionmentioning

confidence: 79%

Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal detachment

Yokoyama¹,

Kanbayashi²,

Yamaguchi³

2015

OPTH

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“…Some possible advantages over the regular indirect ophthalmoscopy were mentioned: the image was not inverted, easier access to retinal breaks with dynamic scleral depression, even in small pupil eyes, and the ability of sharing the procedure image with medical staff and students. Pointed drawbacks were the risk of endophthalmitis, touching the lens with the illumination probe and vitreous wick from the scleral incision [62, 68, 69]. …”

Section: Wide-angle Viewing Systemsmentioning

confidence: 99%

Vitreoretinal instruments: vitrectomy cutters, endoillumination and wide-angle viewing systems

Oliveira¹,

Berger

Chow

2016

Int J Retin Vitr

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There have been many advances in vitreoretinal surgery since Machemer introduced the concept of pars plana vitrectomy, in 1971. Of particular interest are the changes in the vitrectomy cutters, their fluidics interaction, the wide-angle viewing systems and the evolution of endoillumination through the past decade and notably in the last few years. The indications of 27-gauge surgery have expanded, including more complex cases. Cut rates of up to 16,000 cuts per minute are already available. New probe designs and pump technology have allowed duty cycle performances of near 100% and improved flow control. The smaller vitrectomy diameter can be positioned between narrow spaces, allowing membrane dissection and serving as a multifunctional instrument. Enhanced endoillumination safety can be achieved by changing the light source, adding light filters, increasing the working distance and understanding the potential interactions between light and vital dyes commonly used to stain the retina. Wide-angle viewing systems (contact, non-contact or a combination of both) provide a panoramic view of the retina. Non-contact systems are assistant-independent, while contact systems may be associated with better image resolution. This review will cover some current aspects on vitrectomy procedures, mainly assessing vitrectomy cutters, as well as the importance of endoillumination and the use of wide-angle viewing systems.Electronic supplementary materialThe online version of this article (doi:10.1186/s40942-016-0052-9) contains supplementary material, which is available to authorized users.

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“…Although recent progress in pars plana vitrectomy (PPV) has expanded its application to rhegmatogenous retinal detachment, scleral buckling remains a valuable surgical procedure and is the first-line treatment for particular cases, such as those involving rhegmatogenous retinal detachment caused by retinal holes in the lattice in young patients. Although an attempt to improve the method of scleral buckling by the substitution of indirect ophthalmoscopy with a noncontact wide-angle viewing system (WAVS) was recently made 1 2 3 , no study has compared the surgical outcomes of the two procedures.…”

mentioning

confidence: 99%

“…The aforementioned issues were mostly resolved through the use of a noncontact WAVS during surgery, which requires lesser indentation for observing the breaks and effects of cryopexy. Furthermore, during indentation, the surgical field can be visualized through the microscope and/or can be recorded, making it convenient for patients, surgeons, assistants, and residents in need of training 1 2 3 .…”

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confidence: 99%

Wide-Angle Viewing System versus Conventional Indirect Ophthalmoscopy for Scleral Buckling

Tomita

Kurihara

Uchida

et al. 2015

Sci Rep

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Wide-angle viewing systems (WAVSs) were originally established for pars plana vitrectomy. However, their application to scleral buckling surgery was recently reported. In this study, we compared the outcomes of scleral buckling using a noncontact WAVS with that of scleral buckling using conventional indirect ophthalmoscopy for rhegmatogenous retinal detachment. The clinical records of 39 eyes (39 patients) with rhegmatogenous retinal detachment primarily treated between November 2012 and June 2014 at the Vitreo-Retina Surgical Division Clinic at the Department of Ophthalmology, Keio University Hospital were retrospectively reviewed. Scleral bucking was performed using WAVS with surgical placement of an endoilluminator in 16 eyes and indirect ophthalmoscopy in 23 eyes. The patients in these groups were consecutive over different intervals. The preoperative demographics, success rate of retinal reattachment, intraoperative findings, and postoperative complications were evaluated. There were no significant differences in pre- or postoperative conditions between groups, and similar surgical outcomes were achieved with the WAVS and conventional procedures. However, compared with the conventional procedure, the WAVS procedure resulted in fewer intraoperative corneal epithelial disorders (p = 0.049) and decreased the surgical duration of segmental buckling (p = 0.02); therefore, it may be suggested as an effective alternative procedure.

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Scleral buckling with a noncontact wide-angle viewing system in the management of retinal detachment with undetected retinal break: a case report

Abstract: A young patient who showed rhegmatogenous retinal detachment with preoperatively undetected retinal break was successfully treated by scleral buckling using a noncontact wide-angle viewing system.

Cited by 31 publications

References 13 publications

Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal detachment

Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal detachment

Vitreoretinal instruments: vitrectomy cutters, endoillumination and wide-angle viewing systems

Wide-Angle Viewing System versus Conventional Indirect Ophthalmoscopy for Scleral Buckling

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Scleral buckling with a noncontact wide-angle viewing system in the management of retinal detachment with undetected retinal break: a case report

Abstract: A young patient who showed rhegmatogenous retinal detachment with preoperatively undetected retinal break was successfully treated by scleral buckling using a noncontact wide-angle viewing system.

Cited by 31 publications

References 13 publications

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

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

Vitreoretinal instruments: vitrectomy cutters, endoillumination and wide-angle viewing systems

Wide-Angle Viewing System versus Conventional Indirect Ophthalmoscopy for Scleral Buckling

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Product

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Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal detachment

Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal detachment