TY - JOUR
T1 - Wide-angled endoillumination vs traditional scleral buckling surgery for retinal detachment – A comparative study
AU - Cohen, Eyal
AU - Rosenblatt, Amir
AU - Bornstein, Sandy
AU - Loewenstein, Anat
AU - Barak, Adiel
AU - Schwartz, Shulamit
N1 - Publisher Copyright:
© 2019 Cohen et al.
PY - 2019
Y1 - 2019
N2 - Purpose: To evaluate the surgical outcomes of traditional scleral buckling (TSB) compared to chandelier-assisted scleral buckling (CSB) for rhegmatogenous retinal detachment repair. Patients and methods: A retrospective interventional comparative case series of 49 eyes that underwent SB procedure. Medical records of 27 and 22 eyes that underwent TSB and CSB surgery, respectively, were evaluated. Outcome measures included primary anatomical success, visual acuity (VA), and perioperative complications. Results: Primary reattachment rate was similar with 85.2% in the TCB group and 81.8% in the CSB group (P=1.00); eight patients needed one additional operation or gas injection with a final reattachment rate of 100% at 6 months. Mean VA in the CSB group improved from 20/60 at presentation to 20/35, 6 months postoperatively. In the TSB group, VA improved from 20/80 to 20/45 (P=0.90). Among the eyes that were successfully reattached with either SB approach, two eyes in each group had cataract progression and none of them required surgery during follow-up. No cases of endophthalmitis were observed. Conclusion: CSB is a modified technique with an advantage of superior visualization compared with the traditional surgery, which simplifies the operation, enhance competency, and could be used as a valuable educational tool. It can provide similar anatomical and functional outcomes with no additional perioperative complications.
AB - Purpose: To evaluate the surgical outcomes of traditional scleral buckling (TSB) compared to chandelier-assisted scleral buckling (CSB) for rhegmatogenous retinal detachment repair. Patients and methods: A retrospective interventional comparative case series of 49 eyes that underwent SB procedure. Medical records of 27 and 22 eyes that underwent TSB and CSB surgery, respectively, were evaluated. Outcome measures included primary anatomical success, visual acuity (VA), and perioperative complications. Results: Primary reattachment rate was similar with 85.2% in the TCB group and 81.8% in the CSB group (P=1.00); eight patients needed one additional operation or gas injection with a final reattachment rate of 100% at 6 months. Mean VA in the CSB group improved from 20/60 at presentation to 20/35, 6 months postoperatively. In the TSB group, VA improved from 20/80 to 20/45 (P=0.90). Among the eyes that were successfully reattached with either SB approach, two eyes in each group had cataract progression and none of them required surgery during follow-up. No cases of endophthalmitis were observed. Conclusion: CSB is a modified technique with an advantage of superior visualization compared with the traditional surgery, which simplifies the operation, enhance competency, and could be used as a valuable educational tool. It can provide similar anatomical and functional outcomes with no additional perioperative complications.
KW - Chandelier
KW - Endoillumination
KW - Retinal detachment
KW - Scleral buckle
KW - Wide-angled viewing system
UR - http://www.scopus.com/inward/record.url?scp=85063059350&partnerID=8YFLogxK
U2 - 10.2147/OPTH.S182751
DO - 10.2147/OPTH.S182751
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AN - SCOPUS:85063059350
SN - 1177-5467
VL - 13
SP - 287
EP - 293
JO - Clinical Ophthalmology
JF - Clinical Ophthalmology
ER -