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Updated chandelier illumination-assisted scleral buckling using 3D visualization system

Authors Kita M, Kusaka M, Yamada H, Hama S

Received 10 June 2019

Accepted for publication 29 August 2019

Published 6 September 2019 Volume 2019:13 Pages 1743—1748

DOI https://doi.org/10.2147/OPTH.S218975

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Cristina Weinberg

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


Supplementary video of ID 218975

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Mihori Kita, Mami Kusaka, Hiroshi Yamada, Sachiyo Hama

Department of Ophthalmology, National Organization Kyoto Medical Center, Kyoto, Japan

Correspondence: Mihori Kita
Department of Ophthalmology, National Organization Kyoto Medical Center, 1-1 Mukouhata-cho, Fukakusa, Fushimi-ku, Kyoto 612-8555, Japan
Tel +81 75 641 9161
Fax +81 75 643 4325
Email mihorik@kuhp.kyoto-u.ac.jp

Purpose: 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

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