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

  • Retinal Disorders
  • Published:
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Abstract

Purpose

To report our experience in non-contact wide-angled visualization with chandelier-assisted scleral buckling (SB) in uncomplicated primary rhegmatogenous retinal detachments (RRD).

Methods

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.

Results

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.

Conclusion

Non-contact wide-angled visualization with chandelier-assisted SB compares favorably with conventional SB for primary uncomplicated primary RRD.

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Author information

Authors and Affiliations

  1. Clinica Ricardo Palma, Lima, Perú

    José Antonio Roca & Nathaly Huaman

  2. Vision Institute, Department of Ophthalmology, School of Medicine, Federal University of Sao Paulo, Sao Paulo, Brazil

    Mauricio Maia, Natasha Ferreira Santos da Cruz & Murilo Ubukata Polizelli

  3. LV Prasad Eye Institute, Hyderabad, India

    Jay Chhablani & Sankeert Gangakhedkar

  4. Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Jay Chhablani

  5. Asociacion Para Evitar la Ceguera, Hospital Luis Sanchez Bulnes, Mexico City, Mexico

    Virgilio Morales-Cantón, Andres Lisker & Jose Luis Guerrero-Naranjo

  6. Oftalvist, Valencia, Spain

    Roberto Gallego-Pinazo

  7. Hospital La Fe, Universidad de Valencia, Valencia, Spain

    Manuel Diaz-Llopis

  8. University of Puerto Rico, San Juan, Puerto Rico

    Maria H. Berrocal

  9. Retina and Vitreous Service, Clinica Privada de Ojos, Mar del Plata, Argentina

    Andres Lasave

  10. Retina and Vitreous Department, Instituto de Oftalmologia do Rio de Janeiro, Hospital da Gamboa, Rio de Janeiro, Brazil

    Nelson A. Sabrosa

  11. Retina Section, Hospital de Alta Complejidad El Cruce, Buenos Aires, Argentina

    Ezequiel Rosendi

  12. Unidad de Retina y Vitreo, Hospital la Arruzafa, Córdoba, Spain

    Juan Manuel Cubero-Parra

  13. OFTALMOS, Catedra de Oftalmologia, Universidad de Buenos Aires, Buenos Aires, Argentina

    Arturo Alezzandrini

  14. Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    J. Fernando Arevalo

  15. Asociados de Macula, Vitreo y Retina de Costa Rica, Primer Piso Torre Mercedes Paseo Colon, San Jose, Costa Rica

    Lihteh Wu

  16. Illinois Eye and Ear Infirmary, Department of Ophthalmology, University of Illinois, Chicago, IL, USA

    Lihteh Wu

Authors
  1. José Antonio Roca
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  2. Mauricio Maia
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  3. Natasha Ferreira Santos da Cruz
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  4. Murilo Ubukata Polizelli
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  5. Jay Chhablani
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  7. Virgilio Morales-Cantón
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  8. Andres Lisker
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  9. Jose Luis Guerrero-Naranjo
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  10. Roberto Gallego-Pinazo
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  11. Manuel Diaz-Llopis
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  12. Maria H. Berrocal
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  13. Andres Lasave
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  14. Nelson A. Sabrosa
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  15. Ezequiel Rosendi
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  16. Juan Manuel Cubero-Parra
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  17. Arturo Alezzandrini
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  18. J. Fernando Arevalo
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  19. Nathaly Huaman
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  20. Lihteh Wu
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Corresponding author

Correspondence to Lihteh Wu.

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Conflict of interest

Maria H Berrocal and Arturo Alezzandrini have both received speaker honoraria from ALCON. All other authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of Argentina, Brazil, Costa Rica, India, Mexico, Peru, Puerto Rico, and Spain; and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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

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  • DOI: https://doi.org/10.1007/s00417-020-04737-1

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