The treatment of retinal detachment (RD) has seen numerous advancements in the last decades. Scleral buckling (SB) is a surgical procedure introduced in the 1950s that has seen a drastic reduction with the advent of vitrectomy. However, due to the new surgical visualization systems, SB has evolved and continues to be an extremely useful procedure in certain conditions. The presence of different case reports or interventional studies with comparable outcomes, as well as the lack of recent studies with direct comparison, may result in an underestimation of its potential nowadays. The aim of this review is to provide a comprehensive update on chandelier-assisted scleral bucking (CSB), with an overview of the surgical evolution, outcomes, advantages, and complications.
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| http://dx.doi.org/10.3390/vision7030047 | DOI Listing |
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Acute infectious endophthalmitis after chandelier-assisted scleral buckling surgery.
Eur J Ophthalmol
November 2024
Department of Retina and Vitreous, Narayana Nethralaya, Bengaluru, Karnataka, India.
Article Synopsis
- A case study reports a rare instance of acute bacterial endophthalmitis following scleral buckling surgery using a non-contact wide-angle viewing system (WAVS) and chandelier endoillumination in a 63-year-old man.
- The patient experienced a significant decrease in vision and ocular pain a week after surgery, with examinations revealing severe vitreous haze and infection, confirmed through a vitreous biopsy.
- Successful treatment involved a vitreous biopsy and intravitreal antibiotics, leading to recovery of vision over six weeks, highlighting the need for clinicians to be aware of infection risks associated with this surgical method.
Comparison of Chandelier-Assisted versus Standard Scleral Buckling for the Treatment of Primary Rhegmatogenous Retinal Detachment: A Systematic Review and Meta-Analysis.
Ophthalmologica
December 2024
Department of Ophthalmology, Eye Center, China Medical University Hospital, Taichung, Taiwan.
Introduction: Compare the anatomical and functional outcomes, operation duration, and complication rates between standard scleral buckling (SSB) and chandelier-assisted scleral buckling (CSB) for phakic eyes with rhegmatogenous retinal detachment (RRD).
Methods: PubMed, Embase, and Cochrane Library databases were searched from inception to June 2024. The primary endpoint will be set as a final success.
Outcomes of Chandelier-Assisted Scleral Buckling in Rhegmatogenous Retinal Detachments: Systematic Review and Meta-analysis.
J Vitreoretin Dis
January 2024
Department of Ophthalmology, Icahn School of Medicine, Mount Sinai Medical Center, and New York City Health and Hospitals, New York, NY, USA.
To examine the outcomes of chandelier endoillumination-assisted scleral buckling (chandelier scleral buckling) for rhegmatogenous retinal detachments (RRDs) and compare them with those of standard scleral buckling using indirect ophthalmoscopy. A literature search was performed on April 15, 2023. Outcomes analyzed included the primary anatomic success rates, surgical duration, and complication rates.
View Article and Find Full Text PDFChandelier-assisted scleral buckle surgery - contact versus non-contact wide-angle viewing system (CAB-CNV): A retrospective, multicenter, clinical study.
Indian J Ophthalmol
July 2024
Department of Vitreoretinal Services, Retina Foundation, Ahmedabad, India.
Purpose: To investigate and compare the anatomic and functional outcomes of chandelier-assisted scleral buckling (CASB) surgery using contact versus non-contact lens-based wide-angle viewing systems (WAVSs) in rhegmatogenous retinal detachment (RRD) patients.
Methods: This was a retrospective, multicenter study evaluating the anatomic (reattachment rate) and visual acuity (VA) outcomes at 6 months post-CASB for primary RRD.
Results: Forty-seven RRD patients underwent CASB with a non-contact WAVS (Group C1) and 90 with a contact lens WAVS (Group C2).
A Case of Lens and Posterior Capsule Injury in Chandelier-Assisted Scleral Buckling for Rhegmatogenous Retinal Detachment.
Case Rep Ophthalmol
December 2023
Department of Ophthalmology, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan.
Introduction: Rhegmatogenous retinal detachment (RRD) presents as a common ophthalmological emergency that impacts vision and may lead to blindness in the involved eye. Recently, chandelier-assisted scleral buckling (SB) is considered as one of procedures for the management of RRD. Herein, we present a case of acute cataract progression caused by a chandelier light during chandelier-assisted SB for RRD.
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