&lt;p&gt;Wide-angled endoillumination vs traditional scleral buckling surgery for retinal detachment &amp;ndash; a comparative study&lt;/p&gt;

Cohen, Eyal; Rosenblatt, Amir; Bornstein, Sandy; Loewenstein, Anat; Barak, Adiel; Schwartz, Shulamit

doi:10.2147/opth.s182751

Cited by 18 publications

(24 citation statements)

References 13 publications

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“…Several studies have reported that the use of chandelier-assisted scleral buckling yielded a reattachment rate of 83.3–95.5% without any significant intraoperative and postoperative complications 3–11. In our current study, reattachment was achieved in all of the 18 cases after the first scleral buckling.…”

Section: Discussionsupporting

confidence: 61%

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

Kita¹,

Kusaka²,

Yamada³

et al. 2019

OPTH

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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.

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Section: Discussionsupporting

confidence: 61%

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

Kita¹,

Kusaka²,

Yamada³

et al. 2019

OPTH

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“…Recently, Frisina et al reported 213 eyes of primary RRD who underwent microscope-assisted ab externo surgery and demonstrated the safety and efficacy of this technique [ 15 ]. However, the reported studies on chandelier endoillumination-assisted scleral buckling cover a limited follow-up period, ranging from 1 to 12 months [ 3 , 16 – 21 ]. Our group applied 25-gauge cannula-based chandelier-assisted scleral buckling since 2013.…”

Section: Discussionmentioning

confidence: 99%

“…A recent multicenter study also confirmed that patients with phakic moderately complex primary RRD who underwent scleral buckling had significantly better visual outcomes [ 10 ]. Several studies have reported that the use of chandelier-assisted scleral buckling yielded a reattachment rate of 83.3-95.5% [ 3 , 5 ]. The primary anatomical success rate in our study was 90%.…”

Section: Discussionmentioning

confidence: 99%

“…Conventional scleral buckling using indirect ophthalmoscope has some limitations, such as inverted image, limited surgical view, and surgical procedure cannot be shared and recorded [ 3 ]. In recent years, surgeons have made a lot of efforts like applying noncontact wide-angle viewing system, chandelier endoillumination [ 4 ], and 3D visualization system [ 5 ] to overcome the drawbacks of conventional scleral buckling.…”

Section: Introductionmentioning

confidence: 99%

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Six-Year Outcomes of 25-Gauge Chandelier Illumination-Assisted Scleral Buckling

Zhang

Wei

et al. 2021

BioMed Research International

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Objectives. To report the long-term results of scleral buckling using 25-gauge chandelier illumination. Methods. The medical records of all patients presenting to Shanghai Tenth People’s Hospital with simple rhegmatogenous retinal detachment (RRD) from June 2013 to Oct 2015 were retrospectively reviewed in this consecutive case series. All patients underwent preoperative and postoperative best corrected visual acuity (BCVA), B-ultrasound, fundus photography, and optical coherence tomography examination. Ultrasound biomicroscopy (UBM) was obtained postoperatively. Results. Ten patients (10 eyes) were included in the final analysis. Of 10 patients, the average age was 49.3 ± 18.9 years old, the average duration of RRD was 30.9 ± 53.3 days, and the mean follow-up period was 6.2 ± 0.9 years. There were nine eyes with myopia and four eyes with macular detachment. The primary anatomical success rate was 90%. Five eyes underwent 360-degree band with element surgery, and five eyes underwent element surgery alone. The average length of encircling band and element was 68.2 ± 1.3 mm and 10.5 ± 2.5 mm, respectively. There were no intraoperative or postoperative complications that occurred. The final BCVA was greater than or equal to 20/40 in nine eyes, of which four eyes achieved 20/20. UBM examination of the 25-gauge chandelier insertion site revealed no tissue proliferation. Conclusions. For simple rhegmatogenous retinal detachment treatment, 25-gauge chandelier illumination-assisted scleral buckling is a kind of effective and safe method.

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“…The use of a trocar canula was an elegant approach which provided easy access for the chandelier light with minimal trauma to the sclera or vitreous. The efficacy and safety of this procedure has been reproduced in reports of successful scleral buckling using chandelier illumination [ 6 – 9 ]. Decreased case duration, improved primary reattachment rate and visual acuity, and augmented educational value of the chandelier assisted scleral buckle was reported by Narayanan et al in 2016 [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

A guarded light pipe for direct visualization during primary scleral buckling on the Ngenuity platform

Agranat

Douglas

et al. 2020

Int J Retin Vitr

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Background Visualization during scleral buckling is traditionally achieved via indirect ophthalmoscopy. Recent advances have utilized the surgical microscope and a 25 gauge cannula-based endoillumination system, also known as a Chandelier lighting system. This report details an improved approach using a guarded 25 or 27 gauge light pipe and the Ngenuity digital three dimensional platform. Methods A standard Alcon light pipe is modified with a silicone guard to expose only 5 mm of the tip of the light pipe. The guard is created from the silicone that is already opened to secure the ends of the encircling band most often employed sleeve (e.g. 70, 270). This guarded light pipe is then inserted into the cannula as an alternative to a Chandelier lighting system. Results This is a technical report of a surgical visualization technique using a three dimensional digital visualization platform with a modified handheld vitrectomy light pipe. Conclusion The utilization of a guarded light pipe for visualization during primary scleral buckling is a promising, effective, and efficient technique. The three dimensional digital display allows for better educational impact and surgical communication with trainees and ancillary members of the surgical team.

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<p>Wide-angled endoillumination vs traditional scleral buckling surgery for retinal detachment – a comparative study</p>

Cited by 18 publications

References 13 publications

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

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

Six-Year Outcomes of 25-Gauge Chandelier Illumination-Assisted Scleral Buckling

A guarded light pipe for direct visualization during primary scleral buckling on the Ngenuity platform

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