José Antonio Roca1, Mauricio Maia2, Natasha Ferreira Santos da Cruz2, Murilo Ubukata Polizelli2, Jay Chhablani3,4, Sankeert Gangakhedkar3, Virgilio Morales-Cantón5, Andres Lisker5, Jose Luis Guerrero-Naranjo5, Roberto Gallego-Pinazo6, Manuel Diaz-Llopis7, Maria H Berrocal8, Andres Lasave9, Nelson A Sabrosa10, Ezequiel Rosendi11, Juan Manuel Cubero-Parra12, Arturo Alezzandrini13, J Fernando Arevalo14, Nathaly Huaman1, Lihteh Wu15,16. 1. Clinica Ricardo Palma, Lima, Perú. 2. Vision Institute, Department of Ophthalmology, School of Medicine, Federal University of Sao Paulo, Sao Paulo, Brazil. 3. LV Prasad Eye Institute, Hyderabad, India. 4. Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. 5. Asociacion Para Evitar la Ceguera, Hospital Luis Sanchez Bulnes, Mexico City, Mexico. 6. Oftalvist, Valencia, Spain. 7. Hospital La Fe, Universidad de Valencia, Valencia, Spain. 8. University of Puerto Rico, San Juan, Puerto Rico. 9. Retina and Vitreous Service, Clinica Privada de Ojos, Mar del Plata, Argentina. 10. Retina and Vitreous Department, Instituto de Oftalmologia do Rio de Janeiro, Hospital da Gamboa, Rio de Janeiro, Brazil. 11. Retina Section, Hospital de Alta Complejidad El Cruce, Buenos Aires, Argentina. 12. Unidad de Retina y Vitreo, Hospital la Arruzafa, Córdoba, Spain. 13. OFTALMOS, Catedra de Oftalmologia, Universidad de Buenos Aires, Buenos Aires, Argentina. 14. Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA. 15. Asociados de Macula, Vitreo y Retina de Costa Rica, Primer Piso Torre Mercedes Paseo Colon, San Jose, Costa Rica. LW65@cornell.edu. 16. Illinois Eye and Ear Infirmary, Department of Ophthalmology, University of Illinois, Chicago, IL, USA. LW65@cornell.edu.
Abstract
PURPOSE: To report our experience in non-contact wide-angled visualization with chandelier-assisted scleral buckling (SB) in uncomplicated primary rhegmatogenous retinal detachments (RRD). METHODS: Retrospective case series of 282 eyes that underwent non-contact wide-angled visualization with chandelier-assisted SB and were followed for a mean of 13.5 months. RESULTS: There were 160 male patients. The average age was 42.6 years old. There were 262 eyes that were phakic, 18 pseudophakic, and 2 aphakic. Two-thirds of eyes presented with the macula detached. Eyes had an average of 1.6 breaks. The single operation anatomic success rate was 85.1% (240/282). The pre-op visual acuity improved from 1.21 to 0.76 logMAR at 6 months (p < 0.0001). Complications included a case of scleral laceration, choroidal hemorrhage, 3 epiretinal membranes, 1 macular fold, and 4 eyes with buckle exposure. CONCLUSION: Non-contact wide-angled visualization with chandelier-assisted SB compares favorably with conventional SB for primary uncomplicated primary RRD.
PURPOSE: To report our experience in non-contact wide-angled visualization with chandelier-assisted scleral buckling (SB) in uncomplicated primary rhegmatogenous retinal detachments (RRD). METHODS: Retrospective case series of 282 eyes that underwent non-contact wide-angled visualization with chandelier-assisted SB and were followed for a mean of 13.5 months. RESULTS: There were 160 male patients. The average age was 42.6 years old. There were 262 eyes that were phakic, 18 pseudophakic, and 2 aphakic. Two-thirds of eyes presented with the macula detached. Eyes had an average of 1.6 breaks. The single operation anatomic success rate was 85.1% (240/282). The pre-op visual acuity improved from 1.21 to 0.76 logMAR at 6 months (p < 0.0001). Complications included a case of scleral laceration, choroidal hemorrhage, 3 epiretinal membranes, 1 macular fold, and 4 eyes with buckle exposure. CONCLUSION: Non-contact wide-angled visualization with chandelier-assisted SB compares favorably with conventional SB for primary uncomplicated primary RRD.
Authors: M Ali Khan; Alexander Kuley; Christopher D Riemann; Maria H Berrocal; Rohit R Lakhanpal; Jason Hsu; Arunan Sivalingam; Allen C Ho; Carl D Regillo Journal: Ophthalmology Date: 2017-11-13 Impact factor: 12.079