Chandelier-assisted Scleral Buckling Using Wide Angle Viewing Contact Lens for Pseudophakic Retinal Detachment Repair

Overview

Journal Int J Ophthalmol

Specialty Ophthalmology

Date 2019 Apr 27

PMID 31024818

Citations 6

Authors

Ashraf Ahmed Nossair

Wael Ahmed Ewais

Sherif Ahmed Eissa

Affiliations

Soon will be listed here.

Abstract

Aim: To evaluate a modified technique for scleral buckling (SB) in pseudophakic retinal detachment (RD).

Methods: A retrospective non-comparative study included 21 consecutive eyes with uncomplicated pseudophakic RD that was repaired by chandelier assisted SB using wide angle viewing (WAV) contact lens. Segmental tire alone was used in 5 eyes (23.81%), and combined with encircling band in 7 eyes (33.33%). Radial sponge alone was used in 3 eyes (14.29%) and combined with encircling band in 6 eyes (28.57%).

Results: Primary success rate was (90.48%). External drainage of subretinal fluid was performed in 8 eyes (38.1%). Intraoperative complications included vitreous prolapse at chandelier sclerotomy site in 4 eyes (19.05%) and localized subretinal hemorrhage at drainage site in one eye (4.76%). No case of intraocular lens (IOL) displacement, retinal incarceration or iatrogenic retinal tear was detected. Postoperative complications included choroidal detachment in one eye (4.76%), elevated intraocular pressure in 2 eyes (9.52%), epiretinal membrane formation in one eye (4.76%) and proliferative vitreoretinopathy in 3 eyes (14.29%). Mean postoperative corrected distance visual acuity was 0.7±0.3 logMAR units.

Conclusion: Chandelier-assisted SB using WAV contact lens is a reliable technique for repairing selected cases of simple pseudophakic RD.

Citing Articles

Comparison of Vessel Density and Retinal Sensitivity After Scleral Buckling and Phacovitrectomy in the Management of Macula-on Primary Rhegmatogenous Retinal Detachment.

Zabel P, Charytoniuk T, Zabel K, Kazmierczak K, Suwala K, Buszko K Clin Ophthalmol. 2024; 18:3161-3170.

PMID: 39525870 PMC: 11550704. DOI: 10.2147/OPTH.S480833.

Outcomes of Chandelier-Assisted Scleral Buckling in Rhegmatogenous Retinal Detachments: Systematic Review and Meta-analysis.

Zhu D, Wong A, Jiao G, Zhang C, Yakobashvili D, Zhu E J Vitreoretin Dis. 2024; 8(2):158-167.

PMID: 38465358 PMC: 10924592. DOI: 10.1177/24741264231224956.

Chandelier-assisted scleral buckle surgery - contact versus non-contact wide-angle viewing system (CAB-CNV): A retrospective, multicenter, clinical study.

Kelkar A, Nagpal M, Mondal S, Mehrotra N, Jain H, Sharma A Indian J Ophthalmol. 2024; 72(7):1043-1048.

PMID: 38454850 PMC: 11329811. DOI: 10.4103/IJO.IJO_2820_23.

Chandelier-Assisted Scleral Buckling: A Literature Review.

Governatori L, Scampoli A, Culiersi C, Bernardinelli P, Picardi S, Sarati F Vision (Basel). 2023; 7(3).

PMID: 37489326 PMC: 10366817. DOI: 10.3390/vision7030047.

Scleral Buckling: A Look at the Past, Present and Future in View of Recent Findings on the Importance of Photoreceptor Re-Alignment Following Retinal Re-Attachment.

Cruz-Pimentel M, Huang C, Wu L Clin Ophthalmol. 2022; 16:1971-1984.

PMID: 35733617 PMC: 9208732. DOI: 10.2147/OPTH.S359309.

References

Okada Y, Nakamura S, Kubo E, Oishi N, Takahashi Y, Akagi Y . Analysis of changes in corneal shape and refraction following scleral buckling surgery. Jpn J Ophthalmol. 2000; 44(2):132-8. DOI: 10.1016/s0021-5155(99)00183-5. View

Calenda E, Olle P, Muraine M, Brasseur G . Peribulbar anesthesia and sub-Tenon injection for vitreoretinal surgery: 300 cases. Acta Ophthalmol Scand. 2000; 78(2):196-9. DOI: 10.1034/j.1600-0420.2000.078002196.x. View

Newsom R, Wainwright A, Canning C . Local anaesthesia for 1221 vitreoretinal procedures. Br J Ophthalmol. 2001; 85(2):225-7. PMC: 1723861. DOI: 10.1136/bjo.85.2.225. View

Ho C, Chen K, See L . Selection of scleral buckling for primary retinal detachment. Ophthalmologica. 2002; 216(1):33-9. DOI: 10.1159/000048294. View

Pournaras C, Kapetanios A . Primary vitrectomy for pseudophakic retinal detachment: a prospective non-randomized study. Eur J Ophthalmol. 2003; 13(3):298-306. DOI: 10.1177/112067210301300310. View

Lois N, Wong D . Pseudophakic retinal detachment. Surv Ophthalmol. 2003; 48(5):467-87. DOI: 10.1016/s0039-6257(03)00083-3. View

Sharma Y, Karunanithi S, Azad R, Vohra R, Pal N, Singh D . Functional and anatomic outcome of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment. Acta Ophthalmol Scand. 2005; 83(3):293-7. DOI: 10.1111/j.1600-0420.2005.00461.x. View

Brazitikos P, Androudi S, Christen W, Stangos N . Primary pars plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment: a randomized clinical trial. Retina. 2005; 25(8):957-64. DOI: 10.1097/00006982-200512000-00001. View

Salicone A, Smiddy W, Venkatraman A, Feuer W . Visual recovery after scleral buckling procedure for retinal detachment. Ophthalmology. 2006; 113(10):1734-42. DOI: 10.1016/j.ophtha.2006.03.064. View

10.

Ross W, Lavina A . Pneumatic retinopexy, scleral buckling, and vitrectomy surgery in the management of pseudophakic retinal detachments. Can J Ophthalmol. 2008; 43(1):65-72. DOI: 10.3129/i07-196. View

11.

MACHEMER R, AABERG T, Freeman H, IRVINE A, Lean J, Michels R . An updated classification of retinal detachment with proliferative vitreoretinopathy. Am J Ophthalmol. 1991; 112(2):159-65. DOI: 10.1016/s0002-9394(14)76695-4. View

12.

Haritoglou C, Brandlhuber U, Kampik A, Priglinger S . Anatomic success of scleral buckling for rhegmatogenous retinal detachment--a retrospective study of 524 cases. Ophthalmologica. 2010; 224(5):312-8. DOI: 10.1159/000298752. View

13.

Kasbekar S, Wong V, Young J, Stappler T, Durnian J . Strabismus following retinal detachment repair: a comparison between scleral buckling and vitrectomy procedures. Eye (Lond). 2011; 25(9):1202-6. PMC: 3178247. DOI: 10.1038/eye.2011.152. View

14.

Aras C, Ucar D, Koytak A, Yetik H . Scleral buckling with a non-contact wide-angle viewing system. Ophthalmologica. 2011; 227(2):107-10. DOI: 10.1159/000333101. View

15.

Ricker L, Kessels A, de Jager W, Hendrikse F, Kijlstra A, La Heij E . Prediction of proliferative vitreoretinopathy after retinal detachment surgery: potential of biomarker profiling. Am J Ophthalmol. 2012; 154(2):347-354.e2. DOI: 10.1016/j.ajo.2012.02.004. View

16.

Sun Q, Sun T, Xu Y, Yang X, Xu X, Wang B . Primary vitrectomy versus scleral buckling for the treatment of rhegmatogenous retinal detachment: a meta-analysis of randomized controlled clinical trials. Curr Eye Res. 2012; 37(6):492-9. DOI: 10.3109/02713683.2012.663854. View

17.

Mahroo O, Dybowski R, Wong R, Williamson T . Characteristics of rhegmatogenous retinal detachment in pseudophakic and phakic eyes. Eye (Lond). 2012; 26(8):1114-21. PMC: 3420045. DOI: 10.1038/eye.2012.112. View

18.

Mehta S, Hubbard 3rd G . Avoiding neck strain in vitreoretinal surgery: an ergonomic approach to indirect ophthalmoscopy and laser photocoagulation. Retina. 2012; 33(2):439-41. DOI: 10.1097/IAE.0b013e318276cbca. View

19.

Nam K, Kim W, Jo Y, Kim J . Scleral buckling technique using a 25-gauge chandelier endoilluminator. Retina. 2013; 33(4):880-2. DOI: 10.1097/IAE.0b013e31827e2602. View

20.

Christoforidis J, Williams M, Wang J, Jiang A, Pratt C, Abdel-Rasoul M . Anatomic and pharmacokinetic properties of intravitreal bevacizumab and ranibizumab after vitrectomy and lensectomy. Retina. 2013; 33(5):946-52. PMC: 4086838. DOI: 10.1097/IAE.0b013e3182753b12. View