Modified Endolaser Instrument for Chandelier Scleral Buckling.

To report a new modification of an illuminated endolaser to facilitate safe endophotocoagulation during chandelier-assisted scleral buckling surgery. This case series comprised phakic patients with rhegmatogenous retinal detachments (RRDs) who had primary scleral buckling with chandelier endoillumination, external drainage, and endophotocoagulation using the modified endolaser instrument. All 6 patients had successful outcomes after primary scleral buckling for RD repair without significant intraoperative or postoperative complications. The new modified endolaser instrument can be safely used in a nonvitrectomized eye during chandelier scleral buckling.