Rinsho Ganka Volume 71, Issue 8 (August 2017)

Review of scleral buckling surgery with chandelier illumination for rhegmatogenous retinal detachment Azusa Fujikawa 1 , Takeshi Kumagami 1 , Naoki Imamura 1 , Eiko Tsuiki 1 , Takashi Kitaoka 1 1Department of Ophthalmology and Visual Sciences, Graduate School of Biomedical Sciences, Nagasaki University pp.1185-1190
Published Date 2017/8/15
DOI https://doi.org/10.11477/mf.1410212363
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Abstract Purpose:To present a review of wide-angle viewing system and chandelier illumination for rhegmatogenous retinal detachment.

Cases and Method:This retrospective study was made on 195 eyes that received scleral buckling surgery in the past 7 years. Surgery was performed either by standard or chandelier illumination.

Results:The retina became reattached after initial surgery in 33 out of 37 eyes(89%)after chandelier-assisted segmental buckling, 29 out of 33 eyes(88%)after standard segmental buckling, 20 out of 23 eyes(87%)after chandelier-assisted scleral encircling, and 32 out of 37 eyes(87%)after standard scleral encircling. The differences were not significant. Duration of surgery was significantly shorter in chandelier-assisted than standard segmental buckling(p=0.045), and shorter in chandelier-assisted than standard scleral encircling(p=0.007).

Conclusion:Chandelier-assisted scleral buckling reduced the duration of surgery by allowing the retinal break easier to find. Diathermy with light illumination assisted the correct location of retinal break on the sclera. Careful management of the chandelier was necessary to avoid touching the lens or causing infection in the vitreous.

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71巻8号 (2017年8月)
電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院