SCLERAL BUCKLING FOR PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT USING A NONCONTACT WIDE-ANGLE VIEWING SYSTEM WITH A CANNULA-BASED 27-G CHANDELIER ENDOILLUMINATOR

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Abstract

Purpose:

To assess the outcome of scleral buckling surgery using a noncontact wide-angle viewing system for fundus visualization in patients with rhegmatogenous retinal detachment.

Methods:

Twenty-eight eyes of 28 patients underwent a modified scleral buckling surgery using a noncontact wide-angle viewing system combined with a 27-gauge optic fiber inserted into the sclera at the pars plana through a valved 27-gauge trocar.

Results:

The mean age of the patients was 61.5 ± 9.9 years. The mean axial length was 25.16 ± 1.27 mm. The mean extension of the retinal detachment was 5.3 ± 2.5 clock hours. The mean follow-up time was 6.4 months. Retinal reattachment was achieved in 27 of the 28 eyes (96.4%). One eye underwent vitrectomy with a silicone oil injection because of the development of proliferative vitreoretinopathy.

Conclusion:

Simultaneous use of a noncontact wide-angle viewing system combined with 27-gauge light fiber illumination for fundus visualization adds the advantages of microsurgery and indirect ophthalmoscopy to scleral buckling surgery. We found a high rate of primal retinal reattachment.

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