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29G chandelier‐assisted scleral buckling with new instruments
Author(s) -
Lytvynchuk L.,
Binder S.
Publication year - 2016
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2016.0072
Subject(s) - medicine , visual acuity , scleral buckling , scleral buckle , ophthalmology , retinal detachment , contact lens , surgery , retinal
Summary Purpose To modify a scleral buckling technique for retinal detachment (RD) treatment using 29‐gauge twin‐light chandelier, non‐contact viewing system and a new illuminated indenter‐marker. Methods Eight consecutive patients (8 eyes) were enrolled to this prospective observational study. During every surgery a new illuminated indenter‐marker was used. Standard ophthalmologic examinations were performed before and after the surgery. The evaluation of the surgery duration was performed in every case. Results The mean initial best corrected visual acuity (BCVA) was 20/200, and after the surgery – 20/80. The retina reattached in all cases. The mean time of the surgical procedure was 35.12 min ± 9.05 min. In all cases minimal segmental buckle were used. In two cases an additional suturing of the sclerotomy after endolight withdrawal was necessary. Conclusion Endoillumination‐assisted scleral buckling is a novel approach for RD treatment, which can be performed using microscope and non‐contact viewing system. The new illuminated indenter‐marker facilitates easier, and more controlled localisation of the retinal breaks with simultaneous marking of the desired area.