Clinical Ophthalmology (Sep 2019)
Updated chandelier illumination-assisted scleral buckling using 3D visualization system
Abstract
Mihori Kita, Mami Kusaka, Hiroshi Yamada, Sachiyo Hama Department of Ophthalmology, National Organization Kyoto Medical Center, Kyoto, JapanCorrespondence: Mihori KitaDepartment of Ophthalmology, National Organization Kyoto Medical Center, 1-1 Mukouhata-cho, Fukakusa, Fushimi-ku, Kyoto 612-8555, JapanTel +81 75 641 9161Fax +81 75 643 4325Email [email protected]: To assess the updated chandelier illumination-assisted scleral buckle procedures using a 3D visualization system.Subjects and methods: 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.Results: 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.Conclusion: 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.Keywords: scleral buckling, chandelier illumination, wide-angle viewing system, 3D visualization system, retinal detachment, contact lens
