Outcomes of Chandelier-Assisted Scleral Buckling in Rhegmatogenous Retinal Detachments: Systematic Review and Meta-analysis.
| Autor: | Zhu D; Department of Ophthalmology, Northwell Health Eye Institute, Great Neck, NY, USA., Wong A; Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA., Jiao G; Department of Ophthalmology, Northwell Health Eye Institute, Great Neck, NY, USA., Zhang C; Department of Ophthalmology, Ross Eye Institute, Jacobs School of Medicine and Biomedical Sciences, State University of New York, University at Buffalo, Buffalo, NY USA., Yakobashvili D; Institute of Ophthalmology & Visual Science, Rutgers New Jersey Medical School, Newark, NJ, USA., Zhu E; Department of Computer Science, University of Illinois at Urbana-Champaign, Urbana, IL, USA., Tham T; Department of Otolaryngology-Head and Neck Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA., Lieberman R; Department of Ophthalmology, Icahn School of Medicine, Mount Sinai Medical Center, and New York City Health and Hospitals, New York, NY, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of vitreoretinal diseases [J Vitreoretin Dis] 2024 Jan 19; Vol. 8 (2), pp. 158-167. Date of Electronic Publication: 2024 Jan 19 (Print Publication: 2024). |
| DOI: | 10.1177/24741264231224956 |
| Abstrakt: | Purpose: To examine the outcomes of chandelier endoillumination-assisted scleral buckling (chandelier scleral buckling) for rhegmatogenous retinal detachments (RRDs) and compare them with those of standard scleral buckling using indirect ophthalmoscopy. Methods: A literature search was performed on April 15, 2023. Outcomes analyzed included the primary anatomic success rates, surgical duration, and complication rates. A meta-analysis of proportions estimated the pooled success rate of chandelier scleral buckling. In addition, meta-analyses compared the success rates between pseudophakic eyes and phakic eyes having chandelier scleral buckling and compared success rates and surgical duration between standard scleral buckling and chandelier scleral buckling. Results: Thirty studies with 1133 eyes were included. The pooled primary anatomic success rate of chandelier scleral buckling was 91.7% (95% CI, 89.6%-93.6%). In studies comparing success rates between the 2 techniques, there was no significant difference (risk ratio, 1.01; 95% CI, 0.94-1.08; P = .80). The surgical times were significantly shorter with chandelier scleral buckling than with standard scleral buckling (mean difference, -18.83; 95% CI, -30.88 to -6.79; P = .002). There was no significant difference in the success rate between pseudophakic eyes and phakic eyes (risk ratio, 0.99; 95% CI, 0.91-1.08; P = .89). No cases of endophthalmitis were reported. Conclusions: Chandelier endoillumination-assisted scleral buckling may be a promising technique given its high rate of primary anatomic success for RRDs and success rates similar to those of standard scleral buckling. There was no significant difference in the efficacy of chandelier scleral buckling between pseudophakic eyes and phakic eyes. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.) |
| Databáze: | MEDLINE |
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