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Scleral Buckling Utilizing a Non-contact Vast-Angle Viewing System with a 25-Gauge Chandelier Endoilluminator.

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Scleral Buckling Utilizing a Non-contact Vast-Angle Viewing System with a 25-Gauge Chandelier Endoilluminator.

Korean J Ophthalmol. 2017 Dec;31(6):533-537

Authors: Jo J, Moon BG, Lee JY

PURPOSE: To report the end result of scleral buckling utilizing a non-contact wide-angle viewing system with a 25-gauge chandelier endoilluminator.
METHODS: Retrospective analyses of medical information have been carried out for 17 eyes of 16 sufferers with main rhegmatogenous retinal detachment (RRD) with out proliferative vitreoretinopathy who had undergone standard scleral buckling with cryoretinopexy utilizing the mix of a non-contact wide-angle viewing system and chandelier endoillumination.
RESULTS: The sufferers have been eight males and 5 females with a imply age of 26.eight ± 10.2 (vary, 11 to 47) years. The imply follow-up interval was 7.three ± three.1 months. Baseline best-corrected visible acuity was zero.23 ± zero.28 logarithm of the minimal angle of decision models. Greatest-corrected visible acuity on the last go to confirmed enchancment (zero.20 ± zero.25 logarithm of the minimal angle of decision models), however the enchancment was not statistically important (p = zero.722). As a surgery-related complication, there was vitreous loss on the finish of surgical procedure in a single eye. As a postoperative complication, elevated intraocular stress (4 instances) and herpes simplex epithelial keratitis (one case) have been managed postoperatively with eye drops. One case of persistent RRD after main surgical procedure wanted further vitrectomy, and the retina was postoperatively connected.
CONCLUSIONS: Scleral buckling with chandelier illumination as a surgical approach for RRD has the benefits of relieving the surgeon’s neck ache from extended use of the oblique ophthalmoscope and sharing the surgical process with one other surgical crew member. As well as, high-quality retinal breaks which are arduous to establish utilizing an oblique ophthalmoscope will be simply discovered underneath the microscope by direct endoillumination.

PMID: 29230977 [PubMed – indexed for MEDLINE]

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