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Multicenter Study
. 2020 Sep;258(9):1857-1861.
doi: 10.1007/s00417-020-04737-1. Epub 2020 May 14.

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

José Antonio Roca  1 , Mauricio Maia  2 , Natasha Ferreira Santos da Cruz  2 , Murilo Ubukata Polizelli  2 , Jay Chhablani  3   4 , Sankeert Gangakhedkar  3 , Virgilio Morales-Cantón  5 , Andres Lisker  5 , Jose Luis Guerrero-Naranjo  5 , Roberto Gallego-Pinazo  6 , Manuel Diaz-Llopis  7 , Maria H Berrocal  8 , Andres Lasave  9 , Nelson A Sabrosa  10 , Ezequiel Rosendi  11 , Juan Manuel Cubero-Parra  12 , Arturo Alezzandrini  13 , J Fernando Arevalo  14 , Nathaly Huaman  1 , Lihteh Wu  15   16
Affiliations
Multicenter Study

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

José Antonio Roca et al. Graefes Arch Clin Exp Ophthalmol. 2020 Sep.

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.

Keywords: Chandelier-assisted scleral buckling; Rhegmatogenous retinal detachment; Scleral buckling; Wide-angled illumination-assisted scleral buckling.

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