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The practical and educational value of scleral buckling with chandelier illumination

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Abstract

Purpose

To compare the surgical results in cases of primary rhegmatogenous retinal detachments between standard scleral buckling (SSB) and scleral buckling with chandelier illumination (SBC) and to analyse the differences in SBC surgical results between an experienced ophthalmologist and inexperienced ophthalmologists.

Methods

Consecutive surgical case series of 155 eyes that underwent scleral buckling were retrospectively reviewed and divided into four groups: SSB performed by an experienced ophthalmologist (n = 54), SBC performed by an experienced ophthalmologist (n = 52), SBC performed by inexperienced ophthalmologists (n = 40) and SSB performed by inexperienced ophthalmologists (n = 9). Then, these four groups were compared.

Results

No significant differences were observed between SSB and SBC procedures both performed by the experienced ophthalmologist with regard to demographics, preoperative findings, contents of the surgery, intraoperative complications, retinal reattachment, postoperative findings and postoperative complications. Between SBC performed by the experienced ophthalmologist and SBC performed by the inexperienced ophthalmologists, no significant differences were found regarding intraoperative complications, retinal reattachment, postoperative findings and postoperative complications. Between SSB and SBC procedures both performed by the inexperienced ophthalmologist, a significant difference was found regarding intraoperative complications.

Conclusion

There were no significant differences in surgical results between SSB and SBC when both were performed by the experienced ophthalmologist. In addition, the surgical results were equal between the experienced ophthalmologist and the inexperienced ophthalmologist as far as SBC was concerned. Learning scleral buckling skills by using SBC is a reasonable course of action for inexperienced ophthalmologists.

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Data availability statement

All data analysed during the present study are included in this article. Further enquiries can be directed to the corresponding author.

References

  1. Heimann H, Bartz-Schmidt KU, Bornfeld N et al (2007) Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment study G. Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment. A prospective randomized clinical study. Ophthalmology 114:2142–2154. https://doi.org/10.1016/j.ophtha.2007.09.013

    Article  PubMed  Google Scholar 

  2. Aras C, Ucar D, Koytak A, Yetik H (2012) Scleral buckling with a non-contact wide-angle viewing system. Ophthalmologica 227:107–110. https://doi.org/10.1159/000333101

    Article  PubMed  Google Scholar 

  3. Nam KY, Kim WJ, Jo YJ, Kim JY (2013) Scleral buckling technique using 25-gauge chandelier endoilluminator. Retina 33:880–882. https://doi.org/10.1097/IAE.0b013e31827e2602

    Article  PubMed  Google Scholar 

  4. Yokoyama T, Kanbayashi K, Yamaguchi T (2015) Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal detachment. Clin Ophthalmol 9:169–173. https://doi.org/10.2147/OPTH.S75648

    Article  PubMed  PubMed Central  Google Scholar 

  5. Li H, Zhang C, Wei J et al (2021) Six-year outcomes of 25-gauge chandelier illumination-assisted scleral buckling. BioMed Res Int 2021:4628160. https://doi.org/10.1155/2021/4628160

    Article  PubMed  PubMed Central  Google Scholar 

  6. Jeon GS, Han JR (2019) Effectiveness of scleral buckling with a wide-field surgical microscope and chandelier illumination in retinal detachment repair. Ophthalmologica 242:31–37. https://doi.org/10.1159/000496165

    Article  PubMed  Google Scholar 

  7. Roca JA, Maia M, Cruz NFS et al (2020) Non-contact wide-angled visualization with chandelier-assisted scleral buckling for primary uncomplicated rhegmatogenous retinal detachment. Graefes Arch Clin Exp Ophthalmol 258:1857–1861. https://doi.org/10.1007/s00417-020-04737-1

    Article  CAS  PubMed  Google Scholar 

  8. Hu Y, Si S, Xu K et al (2017) Outcomes of scleral buckling using chandelier endoillumination. Acta Ophthalmol 95:591–594. https://doi.org/10.1111/aos.13326

    Article  CAS  PubMed  Google Scholar 

  9. Seider MI, Nomides RE, Hahn P et al (2016) Scleral buckling with chandelier illumination. J Ophthalmic Vis Res 11:304–309. https://doi.org/10.4103/2008-322X.188402

    Article  PubMed  PubMed Central  Google Scholar 

  10. Kita M, Kusaka M, Yamada H, Hama S (2019) Updated chandelier illumination-assisted scleral buckling using 3D visualization system. Clin Ophthalmol 13:1743–1748. https://doi.org/10.2147/OPTH.S218975

    Article  PubMed  PubMed Central  Google Scholar 

  11. Narayanan R, Tyagi M, Hussein A, Chhblani J, Apte RS (2016) Scleral buckling with wide-angled endoillumination as a surgical educational tool. Retina 36:830–833. https://doi.org/10.1097/IAE.0000000000000792

    Article  PubMed  Google Scholar 

  12. Tomita Y, Kurihara T, Uchida A et al (2015) Wide-angle viewing system versus conventional indirect ophthalmoscopy for scleral buckling. Sci Rep 5:13256. https://doi.org/10.1038/srep13256

    Article  PubMed  PubMed Central  Google Scholar 

  13. Cohen E, Rosenblatt A, Bornstein S et al (2019) Wide-angled endoillumination vs traditional scleral buckling surgery for retinal detachment—a comparative study. Clin Ophthalmol 13:287–293. https://doi.org/10.2147/OPTH.S182751

    Article  PubMed  PubMed Central  Google Scholar 

  14. Shu I, Ishikawa H, Nishikawa H et al (2019) Scleral buckling versus vitrectomy for young japanese patients with rhegmatogenous retinal detachment in the era of microincision surgery: real-world evidence from a multicentre study in Japan. Acta Ophthalmol 97:e736–e741. https://doi.org/10.1111/aos.14050

    Article  PubMed  Google Scholar 

  15. Wang A, Snead MP (2020) Scleral buckling-a brief historical overview and current indications. Graefes Arch Clin Exp Ophthalmol 258:467–478. https://doi.org/10.1007/s00417-019-04562-1

    Article  PubMed  Google Scholar 

  16. Kawano S, Imai T, Sakamoto T (2022) the Japan-Retinal Detachment Registry Group. Scleral buckling versus pars plana vitrectomy in simple phakic macula-on retinal detachment: a propensity score-matched, registry-based study. Br J Ophthalmol 106:857–862. https://doi.org/10.1136/bjophthalmol-2020-318451

    Article  PubMed  Google Scholar 

  17. Albalkini AS, Abdullatif AM, Albalkini MS et al (2022) Chandelier-assisted versus standard scleral buckling for primary rhegmatogenous retinal detachment: a randomized clinical study. Retina 42:1745–1755. https://doi.org/10.1097/IAE.0000000000003519

    Article  CAS  PubMed  Google Scholar 

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Funding

This study received no financial support.

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Authors and Affiliations

  1. Department of Ophthalmology, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima, Tokyo, 177-8521, Japan

    Atsuhide Takesue, Toshiyuki Yokoyama, Chihiro Koiwa, Miyako Mayumi & Toshimitsu Kasuga

Authors
  1. Atsuhide Takesue
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  2. Toshiyuki Yokoyama
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  3. Chihiro Koiwa
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  4. Miyako Mayumi
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  5. Toshimitsu Kasuga
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Contributions

AT was contributed conceptualization, methodology, the collection of the data, formal analysis and investigation, and writing—original draft preparation. TY was involved in supervision, writing—original draft preparation, review, and editing. MM was collected the data. CK and TK were performed writing—review and editing. All authors have reviewed and approved the final manuscript.

Corresponding author

Correspondence to Atsuhide Takesue.

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Conflict of interest

The authors declare no competing interests.

Ethics approval

This study was approved by the Ethics Committee of the Juntendo Nerima Hospital (approval No.: E23-0020). As the study was retrospective and deidentified data were used, individual written informed consent to participate and publish the present study was not obtained. Informed consent was obtained in the form of opt-out on the website/posting in the hospital.

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Takesue, A., Yokoyama, T., Koiwa, C. et al. The practical and educational value of scleral buckling with chandelier illumination. Int Ophthalmol 44, 156 (2024). https://doi.org/10.1007/s10792-024-02940-1

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  • DOI: https://doi.org/10.1007/s10792-024-02940-1

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