<p>Updated chandelier illumination-assisted scleral buckling using 3D visualization system</p>

Abstract

PurposeTo assess the updated chandelier illumination-assisted scleral buckle procedures using a 3D visualization system.Subjects and methodsWe report a single-center, retrospective, consecutive surgical case series of 18 eyes of 16 patients that underwent scleral buckle procedures combining the use of chandelier endoillumination, a noncontact wide-angle viewing system, an anti-drying contact lens, and a recently developed 3D visualization system. The mean age of the patients was 30.2 years, and the mean follow-up time was 11.3 months.ResultsRetinal reattachment was achieved after the first surgery in all cases. There were no cases that required conversion of the 3D visualization to a conventional microscopic view. This updated chandelier-assisted scleral buckle procedure was successfully performed without any intraoperative or postoperative complications, except for the occurrence of postoperative diplopia in one case in which a supplementary radial buckle was used for a deep tear.ConclusionThe updated chandelier illumination-assisted scleral buckling surgery using a 3D visualization system appears to be a valuable and promising method for managing rhegmatogenous retinal detachment due to atrophic holes in lattice degeneration or ciliary tears in younger cases.

Wide-angle 3D viewing system with valved trocar applied to chandelier-assisted scleral buckling

“…This yields the possibility to remove and re-insert the chandelier as needed during the procedure (for instance, to remove it at the time of maneuvers like scleral buckle positioning and evacuating puncture), therefore reducing risk of accidental lens traumas, iatrogenic hypotony, choroidal hemorrhage, or choroidal detachment. Another interesting possibility is to employ a 27 G chandelier that, even having not a valve, creates a smaller scleral wound, as reported by Kita et al 5 in a small case series. Nonetheless this last technique does not permit to remove and replace the chandelier without a second scleral incision (even if of small size).…”

“…Many hybrid procedures have been proposed so far, in the attempt to simplify SB using some of the PPV tools, especially the chandelier. 5–9 Here we report of our own hybrid technique that combines the standard SB procedure with WAVS, 3D viewing and, for the first time, a valved trocar system.…”

Heads up Sutureless Chandelier assisted scleral buckle

“… 1 Furthermore, when performing CSB, the 3D visualization system's use gives the option to reduce the light intensity, thus reducing the risk of light toxicity. 9 Utilizing the heads-up system makes it easier for faculty to point out mistakes and correct them simultaneously, which, in contrast to the indirect ophthalmoscope in training set-up, would take a long time, causing decreasing levels of corneal clarity and visualization. Although fellows in training performed half the procedures in this study, there were no reported complications with a high success rate (overall success 100%).…”

“…Used alongside Chandelier endoillumination, it helps train new surgeons in the operation room by providing real-time visuals. 9 , 10 This new technology has been introduced to SB procedures and the outcomes were promising. 9 Moreover, the sutureless SB helps avoid suture-related complications, inadvertent penetration and infection.…”

“… 9 , 10 This new technology has been introduced to SB procedures and the outcomes were promising. 9 Moreover, the sutureless SB helps avoid suture-related complications, inadvertent penetration and infection. 11 …”