Scleral buckling for primary rhegmatogenous retinal detachment using noncontact wide-angle viewing system with a cannula-based 25 G chandelier endoilluminator

• Main Authors: Imai H, Tagami M, Azumi A
• Format: Article
• Language: English
• Published: Dove Medical Press 2015-11-01
• Series: Clinical Ophthalmology
• Online Access: https://www.dovepress.com/scleral-buckling-for-primary-rhegmatogenous-retinal-detachment-using-n-peer-reviewed-article-OPTH

Hisanori Imai,1,2 Mizuki Tagami,1 Atsushi Azumi1,2 1Department of Ophthalmology, Kobe Kaisei Hospital, 2Division of Ophthalmology, Department of Organ Therapeutics, Kobe University Graduate School of Medicine, Kobe, Japan Purpose: The aim of this study is to report the result of scleral buckling (SB) using a combination of a noncontact wide-angle viewing system and a cannula-based 25 G chandelier endoilluminator.Methods: Retrospective analyses of the medical records of 79 eyes of 79 patients with primary uncomplicated rhegmatogenous retinal detachments who had underwent SB using a combination of a noncontact wide-angle viewing system and a chandelier endoilluminator were performed.Results: There were 50 men and 29 women. The mean ± standard deviation age was 43.7±16.0 years. Their preoperative best-corrected visual acuity (BCVA) was 0.31±0.65 logMAR units. The final BCVA was 0.10±0.31 logMAR units, which was significantly better than the preoperative BCVA (P<0.01). The initial and final anatomical success rates were 92.4% and 100%, respectively. Backward logistic multiple regression analysis revealed no relationship between explanatory variables and the primary anatomic success (P=0.104).Conclusion: SB using a combination of a noncontact wide-angle viewing system and a chandelier endoilluminator is a modified new technique and may be a valid option for the management of rhegmatogenous retinal detachments. Keywords: scleral buckling, wide-angle viewing system, chandelier endoilluminator, retinal detachment