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

Abstract

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

Disclosure

The authors report no conflicts of interest in this work.