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SCLERAL BUCKLING FOR PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT USING A NONCONTACT WIDE-ANGLE VIEWING SYSTEM WITH A CANNULA-BASED 27-G CHANDELIER ENDOILLUMINATOR

Caporossi, Tomaso, MD; Finocchio, Lucia, MD; Barca, Francesco, MD; Franco, Fabrizio, MD; Tartaro, Ruggero, MD; Rizzo, Stanislao, MD

Section Editor(s): Williams, George A.

doi: 10.1097/IAE.0000000000001891
Surgical Technique: PDF Only

Purpose: To assess the outcome of scleral buckling surgery using a noncontact wide-angle viewing system for fundus visualization in patients with rhegmatogenous retinal detachment.

Methods: Twenty-eight eyes of 28 patients underwent a modified scleral buckling surgery using a noncontact wide-angle viewing system combined with a 27-gauge optic fiber inserted into the sclera at the pars plana through a valved 27-gauge trocar.

Results: The mean age of the patients was 61.5 ± 9.9 years. The mean axial length was 25.16 ± 1.27 mm. The mean extension of the retinal detachment was 5.3 ± 2.5 clock hours. The mean follow-up time was 6.4 months. Retinal reattachment was achieved in 27 of the 28 eyes (96.4%). One eye underwent vitrectomy with a silicone oil injection because of the development of proliferative vitreoretinopathy.

Conclusion: Simultaneous use of a noncontact wide-angle viewing system combined with 27-gauge light fiber illumination for fundus visualization adds the advantages of microsurgery and indirect ophthalmoscopy to scleral buckling surgery. We found a high rate of primal retinal reattachment.

Simultaneous use of a noncontact wide-angle viewing system combined with 27-gauge light fiber illumination for fundus visualization adds the advantages of microsurgery and indirect ophthalmoscopy to scleral buckling surgery.

Department of Translational Surgery and Medicine, Ophthalmology, University of Florence, Florence, Italy.

Reprint requests: Lucia Finocchio, MD, Azienda Ospedaliero-Universitaria Careggi, 50134 Firenze, Italy; e-mail: luciafinocchio@gmail.com

None of the authors has any financial/conflicting interests to disclose.

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© 2018 by Ophthalmic Communications Society, Inc.