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Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal detachment

Authors Yokoyama T, Kanbayashi K, Yamaguchi T

Received 10 October 2014

Accepted for publication 12 December 2014

Published 23 January 2015 Volume 2015:9 Pages 169—173


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 5

Editor who approved publication: Dr Scott Fraser

Toshiyuki Yokoyama, Koki Kanbayashi, Tamaki Yamaguchi

Department of Ophthalmology, Juntendo University Nerima Hospital, Tokyo, Japan

Purpose: To assess the treatment of pediatric patients with rhegmatogenous retinal detachment (RRD) by scleral buckling with chandelier illumination.
Methods: Three eyes were treated in three patients, healthy boys aged 7 years, 12 years, and 11 years, with RRD, macular involvement, and small retinal holes, of which two were preoperatively undetectable. Conventional scleral buckling with cryoretinopexy was performed under the contact lens for vitreous surgery or noncontact wide-angle viewing system using 27-gauge twin chandelier illumination.
Results: The only known predisposing factor for retinal detachment was myopia stronger than 3 D with lattice retinal degeneration in two of the three patients. Retinal reattachment was achieved in all cases without intra- or postoperative complications. However, visual recovery was limited in one of the three patients.
Conclusion: Scleral buckling with chandelier illumination is effective for pediatric RRD, especially if the retinal hole is difficult to detect preoperatively. However, visual recovery was sometimes limited because of macular involvement due to late diagnosis, which is one of the characteristic features of pediatric RRD.

Keywords: pediatric rhegmatogenous retinal detachment, chandelier illumination, scleral buckling

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