Non-contact wide-angled visualization with chandelier-assisted scleral buckling for primary uncomplicated rhegmatogenous retinal detachment

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 chandeli...

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Bibliographic Details
Published in:	Graefe's archive for clinical and experimental ophthalmology Vol. 258; no. 9; pp. 1857 - 1861
Main Authors:	Roca, José Antonio, Maia, Mauricio, da Cruz, Natasha Ferreira Santos, Polizelli, Murilo Ubukata, Chhablani, Jay, Gangakhedkar, Sankeert, Morales-Cantón, Virgilio, Lisker, Andres, Guerrero-Naranjo, Jose Luis, Gallego-Pinazo, Roberto, Diaz-Llopis, Manuel, Berrocal, Maria H., Lasave, Andres, Sabrosa, Nelson A., Rosendi, Ezequiel, Cubero-Parra, Juan Manuel, Alezzandrini, Arturo, Arevalo, J. Fernando, Huaman, Nathaly, Wu, Lihteh
Format:	Journal Article
Language:	English
Published:	Berlin/Heidelberg Springer Berlin Heidelberg 01-09-2020 Springer Nature B.V
Subjects:	Acuity Eye Hemorrhage Medicine Medicine & Public Health Ophthalmology Retina Retinal Disorders Visualization Wide-angled illumination-assisted scleral buckling Scleral buckling Rhegmatogenous retinal detachment Chandelier-assisted scleral buckling
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0721-832X 1435-702X
DOI:	10.1007/s00417-020-04737-1