Non-contact wide-angled visualization with chandelier-assisted scleral buckling for primary uncomplicated rhegmatogenous retinal detachment

To report our experience in non-contact wide-angled visualization with chandelier-assisted scleral buckling (SB) in uncomplicated primary rhegmatogenous retinal detachments (RRD). Retrospective case series of 282 eyes that underwent non-contact wide-angled visualization with chandelier-assisted SB a...

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Autores principales: José A. Roca, Maurício Maia, Natasha Ferreira Santos da Cruz, Murilo Ubukata Polizelli, Jay Chhablani, Sankeert Gangakhedkar, Virgilio Morales-Cantón, Andres Lisker, José Luis Guerrero-Naranjo, Roberto Gallego‐Pinazo, M. Díaz-Llopis, María H. Berrocal, Andrés F. Lasave, Nelson Alexandre Sabrosa, Ezequiel Rosendi, Juan Manuel Cubero-Parra, Arturo Alezzandrini, J. Fernando Arévalo, Nathaly Huamán, Lihteh Wu
Formato: Artículo
Lenguaje:inglés
Publicado: 2020
Materias:
Medicine
Retinal detachment
Ophthalmology
Scleral buckle
Visual acuity
Retinal
Epiretinal membrane
Scleral buckling
Surgery
Vitrectomy
Adolescent
Adult
Aged
Child
Female
Gonioscopy methods
Humans
Male
Middle Aged
Retinal Detachment diagnosis
Retinal Detachment surgery
Retrospective Studies
Scleral Buckling methods
Visual Acuity
Treatment Outcome
Surgery, Computer-Assisted methods
Young Adult
Health Sciences Medicine Radiology, Nuclear Medicine and Imaging Retinal and Macular Surgery
Health Sciences Medicine Radiology, Nuclear Medicine and Imaging Corneal Surgery and Treatments
Health Sciences Medicine Ophthalmology Intraocular Surgery and Lenses
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Sumario:To report our experience in non-contact wide-angled visualization with chandelier-assisted scleral buckling (SB) in uncomplicated primary rhegmatogenous retinal detachments (RRD). Retrospective case series of 282 eyes that underwent non-contact wide-angled visualization with chandelier-assisted SB and were followed for a mean of 13.5 months. There were 160 male patients. The average age was 42.6 years old. There were 262 eyes that were phakic, 18 pseudophakic, and 2 aphakic. Two-thirds of eyes presented with the macula detached. Eyes had an average of 1.6 breaks. The single operation anatomic success rate was 85.1% (240/282). The pre-op visual acuity improved from 1.21 to 0.76 logMAR at 6 months (p < 0.0001). Complications included a case of scleral laceration, choroidal hemorrhage, 3 epiretinal membranes, 1 macular fold, and 4 eyes with buckle exposure. Non-contact wide-angled visualization with chandelier-assisted SB compares favorably with conventional SB for primary uncomplicated primary RRD.

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