Updated chandelier illumination-assisted scleral buckling using 3D visualization system

• Published in: Clinical Ophthalmology Vol. 13; pp. 1743 - 1748
• Main Authors: Kita, Mihori, Kusaka, Mami, Yamada, Hiroshi, Hama, Sachiyo
• Format: Journal Article
• Language: English
• Published: New Zealand Informa UK Limited 01.09.2019; Dove Medical Press Limited; Taylor & Francis Ltd; Dove; Dove Medical Press
• Subjects: 3D visualization system; chandelier illumination; Clinical Ophthalmology; contact lens; Dermatitis; Diplopia; Eye surgery; Ophthalmology; Original Research; Postoperative complications; RE1-994; Retina; Retinal detachment; scleral buckling; Surgeons; Surgery; Viscoelasticity; Visualization; wide-angle viewing system; Japan; 3D visualization system; wide-angle viewing system; retinal detachment; chandelier illumination; contact lens; scleral buckling
• ISSN: 1177-5483; 1177-5467; 1177-5483
• DOI: 10.2147/opth.s218975

To assess the updated chandelier illumination-assisted scleral buckle procedures using a 3D visualization system. We report a single-center, retrospective, consecutive surgical case series of 18 eyes of 16 patients that underwent scleral buckle procedures combining the use of chandelier endoillumination, a noncontact wide-angle viewing system, an anti-drying contact lens, and a recently developed 3D visualization system. The mean age of the patients was 30.2 years, and the mean follow-up time was 11.3 months. Retinal reattachment was achieved after the first surgery in all cases. There were no cases that required conversion of the 3D visualization to a conventional microscopic view. This updated chandelier-assisted scleral buckle procedure was successfully performed without any intraoperative or postoperative complications, except for the occurrence of postoperative diplopia in one case in which a supplementary radial buckle was used for a deep tear. The updated chandelier illumination-assisted scleral buckling surgery using a 3D visualization system appears to be a valuable and promising method for managing rhegmatogenous retinal detachment due to atrophic holes in lattice degeneration or ciliary tears in younger cases.