Effectiveness of Scleral Buckling with a Wide-Field Surgical Microscope and Chandelier Illumination in Retinal Detachment Repair

Autor:	Jae Ryong Han, Gang Seok Jeon
Rok vydání:	2019
Předmět:	Adult Male Pars plana Proliferative vitreoretinopathy medicine.medical_specialty genetic structures medicine.medical_treatment Visual Acuity Vitrectomy 01 natural sciences 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Ophthalmology medicine Humans 0101 mathematics Lighting Retrospective Studies Microscopy business.industry Suture Techniques 010102 general mathematics Retinal Detachment Retinal detachment Retinal General Medicine medicine.disease eye diseases Sensory Systems Sclera Retinal Tear Scleral Buckling Treatment Outcome medicine.anatomical_structure chemistry 030221 ophthalmology & optometry Female sense organs Tamponade business Follow-Up Studies
Zdroj:	Ophthalmologica. 242:31-37
ISSN:	1423-0267 0030-3755
DOI:	10.1159/000496165
Popis:	Purpose: To assess treatment efficacy of scleral buckling surgery with wide-field surgical microscope and 27-gauge (G) chandelier illumination for rhegmatogenous retinal detachment (RRD). Methods: This study is a retrospective chart review of 29 eyes in 29 patients with RRD who underwent scleral buckling surgery with a wide-field surgical microscope and 27-G chandelier illumination fiber inserted into the sclera at the pars plana. Results are expressed as mean ± standard deviation. Data were analyzed using the paired sample t test. Statistical significance was considered if p value was less than 0.05. Results: The mean age of patients was 43.5 ± 3.5 years, and the mean follow-up time was 10.4 ± 2.5 months. Retinal reattachment was achieved in 27 of 29 eyes at initial surgery. The mean best corrected visual acuity improved from 0.38 ± 0.29 (logMAR) preoperatively to 0.19 ± 0.21 at 6 months after surgery. Two eyes underwent vitrectomy with silicone oil tamponade because of development of proliferative vitreoretinopathy. There was no complication such as choroidal hemorrhage, hypotony, or vitreous herniation at the end of surgery. Conclusion: Scleral buckling with a wide-field surgical microscope and 27-G chandelier illumination has the advantage of offering exact identification of retinal tears and determination of the adequacy of buckle height and position in retinal detachment surgery compared to conventional scleral buckling surgery.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::344dad2e3644178b3d54edddd11697fb https://doi.org/10.1159/000496165 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.