Yuntao Hu1,2, Shancheng Si1,2, Ke Xu2, Huijin Chen2, Liang Han2, Xin Wang2, Zhizhong Ma2. 1. Department of ophthalmology, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China. 2. Peking University Eye Center, Peking University Third Hospital, Beijing, China.
Abstract
PURPOSE: To report the results and complications of scleral buckling for the treatment of rhegmatogenous retinal detachment (RRD) using 25-gauge chandelier endoillumination. METHODS: A total of 61 patients (61 eyes) with RRD were treated with scleral buckling. For the sclera buckling procedure, a 25-gauge chandelier was inserted through the pars plana for intra-ocular illumination, and retinal tears were identified and treated with episcleral cryotherapy under surgical microscope. On postoperative days 1, 3 and 7, the intra-ocular pressure was measured by a non-contact tonometer. On postoperative months 1 and 3, ultrasound biomicroscopy was used to examine the pars plana incision. RESULTS: In the surgical procedure, there was no lenticular or retinal damage due to the chandelier insertion. There was no conjunctival bleb formation at pars plana incision and no incidence of endophthalmitis after surgery. The mean intra-ocular pressure was 15.74 ± 2.98, 15.83 ± 2.76 and 16.14 ± 2.52 mmHg on postoperative days 1, 3 and 7, respectively. The one-time retinal reattachment rate was 93.4%. No visible vitreous incarceration was found in the incision of the pars plana. CONCLUSION: There was no complication found due to the chandelier insertion in early postoperative period. Chandelier endoillumination is a feasible method for retinal visualization under surgical microscope during scleral buckling.
PURPOSE: To report the results and complications of scleral buckling for the treatment of rhegmatogenous retinal detachment (RRD) using 25-gauge chandelier endoillumination. METHODS: A total of 61 patients (61 eyes) with RRD were treated with scleral buckling. For the sclera buckling procedure, a 25-gauge chandelier was inserted through the pars plana for intra-ocular illumination, and retinal tears were identified and treated with episcleral cryotherapy under surgical microscope. On postoperative days 1, 3 and 7, the intra-ocular pressure was measured by a non-contact tonometer. On postoperative months 1 and 3, ultrasound biomicroscopy was used to examine the pars plana incision. RESULTS: In the surgical procedure, there was no lenticular or retinal damage due to the chandelier insertion. There was no conjunctival bleb formation at pars plana incision and no incidence of endophthalmitis after surgery. The mean intra-ocular pressure was 15.74 ± 2.98, 15.83 ± 2.76 and 16.14 ± 2.52 mmHg on postoperative days 1, 3 and 7, respectively. The one-time retinal reattachment rate was 93.4%. No visible vitreous incarceration was found in the incision of the pars plana. CONCLUSION: There was no complication found due to the chandelier insertion in early postoperative period. Chandelier endoillumination is a feasible method for retinal visualization under surgical microscope during scleral buckling.
Authors: José Antonio Roca; Mauricio Maia; Natasha Ferreira Santos da Cruz; Murilo Ubukata Polizelli; Jay Chhablani; Sankeert Gangakhedkar; Virgilio Morales-Cantón; Andres Lisker; Jose Luis Guerrero-Naranjo; Roberto Gallego-Pinazo; Manuel Diaz-Llopis; Maria H Berrocal; Andres Lasave; Nelson A Sabrosa; Ezequiel Rosendi; Juan Manuel Cubero-Parra; Arturo Alezzandrini; J Fernando Arevalo; Nathaly Huaman; Lihteh Wu Journal: Graefes Arch Clin Exp Ophthalmol Date: 2020-05-14 Impact factor: 3.117
Authors: Manish P Nagpal; Sheetal A Mahuvakar; Pranita Prakash Chaudhary; Navneet S Mehrotra; Ashish K Jain Journal: Indian J Ophthalmol Date: 2018-08 Impact factor: 1.848