Literature DB >> 25827556

Comment on: endoilluminator-assisted scleral buckling: our results.

Suresh Ramchandani1, Sushama Ramchandani.   

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Year:  2015        PMID: 25827556      PMCID: PMC4399135          DOI: 10.4103/0301-4738.154416

Source DB:  PubMed          Journal:  Indian J Ophthalmol        ISSN: 0301-4738            Impact factor:   1.848


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Dear Editor, We read with interest the article “endoilluminator-assisted scleral buckling: Our results by Gogia et al. in Indian J Ophthalmol 2014;62:893-4.[1] We commend the authors on a well written article but would like a few clarifications: The authors mention several times that the procedure was carried out in eyes where the break was not “localized” preoperatively. What we understand is that they are trying to say the break was not identified preoperatively. Localisation of a break in retinal detachment surgery parlance means marking of the break on the sclera, that is, the point, where the break is expected to settle on after the sub retinal fluid, is drained or when the retina reattaches eventually. This is done intraoperatively. Sometimes after the break is identified, we can attempt a rough localization preoperatively but accurate localization is only possible intraoperatively. Not able to see the breaks preoperatively is not synonymous with not able to localize Why did the authors not continue to complete the surgery after identification and localization of the retinal breaks? If we have put in an endo illuminator-the surgery could well have been completed without using the indirect ophthalmoscope Do the authors do a nondrainage procedure in all cases? Is this a premeditated decision or would they change their mind during surgery and if yes-then when would they drain? The results of the scleral buckle with drainage in pseudophakic eyes are poorer than vitrectomy.[2] We would imagine that with nondrainage procedures, especially in inferior detachments in pseudophakic/aphakic eyes-the results would be far from satisfactory. Hence, it is commendable that the authors got such spectacular results with a nondrainage procedure.
  2 in total

1.  Primary pars plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment: a randomized clinical trial.

Authors:  Periklis D Brazitikos; Sofia Androudi; William G Christen; Nikolaos Tr Stangos
Journal:  Retina       Date:  2005-12       Impact factor: 4.256

2.  Endoilluminator-assisted scleral buckling: our results.

Authors:  Varun Gogia; Pradeep Venkatesh; Shikha Gupta; Ashish Kakkar; Satpal Garg
Journal:  Indian J Ophthalmol       Date:  2014-08       Impact factor: 1.848

  2 in total

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