Wide-angle 3D viewing system with valved trocar applied to chandelier-assisted scleral buckling
| Autor: | Carlo La Spina, Claudia Del Turco, Dora Cecilia Giobbio, Caterina Bogetto, Claudio Panico, Edoardo Panico |
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| Rok vydání: | 2020 |
| Předmět: |
Pars plana
Male medicine.medical_specialty medicine.medical_treatment Visual Acuity Vitrectomy Scleral buckle Chandelier Retina 03 medical and health sciences 0302 clinical medicine Imaging Three-Dimensional medicine Humans Retrospective Studies business.industry Retinal Detachment Retinal detachment Mean age General Medicine Online video Equipment Design Middle Aged medicine.disease Surgery Ophthalmology Scleral Buckling medicine.anatomical_structure Surgery Computer-Assisted 030221 ophthalmology & optometry business Scleral buckling 030217 neurology & neurosurgery |
| Zdroj: | European journal of ophthalmology. 31(2) |
| ISSN: | 1724-6016 |
| Popis: | Introduction: Scleral buckling (SB) has been the first technique to repair a retinal detachment (RD) and it is still largely in use. Pars plana vitrectomy (PPV) is currently the most common technique, being more versatile and easier to approach. Here we report on a new SB variant, modified by using some of the latest technological advances borrowed from PPV. Methods: We retrospectively reviewed all our SB cases from November 2017 to November 2018, all of them performed with a chandelier, mounted on valved trocar, to provide 3D wide-angle viewing. 107 eyes of 107 patients (mean age of 59 ± 8 years, 61 [57%] males) underwent primary uncomplicated RD surgery using this modified SB technique and were enrolled for this study. Results: In this article, the technique is thoroughly described with an online video presentation. Briefly, thanks to valved trocar insertion, it combines the latest breakthroughs in the field of PPV viewing systems with traditional SB surgery. Our first-year data reveal a primary success rate of 94% (101 cases out of 107) at 3 months follow-up. A hidden retinal lesion, undetected at clinical pre-operative evaluation, was found intraoperatively in 12 (8.9%) cases. Conclusion: The use of a digital three-dimensional (3D) visualization system, coupled with the positioning of a single 25 gauge valved trocar with chandelier, dramatically simplifies the traditional SB and flattens its learning curve, making this procedure more accessible to young surgeons. In addition, the better visualization capability yields to higher possibility to detect and treat all retinal lesions. |
| Databáze: | OpenAIRE |
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