Endoilluminator-assisted scleral buckling: Our results

Indian Journal of Ophthalmology

关键词: Acromegaly;    central corneal thickness;    intraocular pressure;    optic disc topography;    retinal nerve fiber layer thickness;    Best-corrected visual acuity;    inner segment/outer segment junction;    outer retinal corrugation;    Diabetic retinopathy;    Indian eyes;    nonmydriatic imaging;    Capsular;    dehiscence;    foldable intraocular lens;    injector implantation;    Dexamethasone;    phacoemulsification;    Axial length elongation;    body stature growth;    lifestyle;    Cataract;    floppy iris syndrome;    phacoemulsification;    tamsulosin;    Ab externo surgical technique;    capsular tension ring displacement;    intact capsular bag;    intraocular lens luxation;    Diagnostic techniques;    macular;    retinal imaging;    Acrogeria;    easy bruising;    Ehler-Danlos syndrome;    glaucoma;    hyper extensible joints;    Angiod streaks;    perilimbal calcification;    scleral calcification;    subretinal neovascular membrane;    tumoral calcinosis;    Aspergillus terreus;    endogenous endophthalmitis;    immunocompetent;    subretinal abscess;    Cataract;    inflammation;    sterile endophthalmitis;    Endoilluminator;    results;    scleral buckling;   

DOI  :  10.4103/0301-4738.141068

来源: DOAJ

【 摘 要 】

Aims: The aim was to evaluate the long-term surgical outcomes of endoillumination assisted scleral buckling (EASB) in primary rhegmatogenous retinal detachment (RRD). Methods: Twenty-five eyes of 25 patients with primary RRD and proliferative vitreoretinopathy ≤C2 where any preoperative break could not be localised, were included. All patients underwent 25 gauge endoilluminator assisted rhegma localisation. Successful break determination was followed by cryopexy and standard scleral buckling under surgical microscope. Anatomical and functional outcomes were evaluated at the end of 2 years. Results: At least one intraoperative break could be localized in 23 of 25 (92%) eyes. Median age of these patients was 46 years (range: 17-72). Thirteen eyes (56.52%) were phakic, 8 (34.78%) were pseudophakic and 2 (8.6%) were aphakic. Anatomical success (attachment of retina) was achieved in 22 (95.63%) of 23 eyes with EASB. All eyes remained attached at the end of 2 years. Significant improvement in mean visual acuity (VA) was achieved at the end of follow-up (1.09 ± 0.46 log of the minimum angle of resolution [logMAR]) compared with preoperative VA (1.77 ± 0.28 logMAR) (P < 0.001). Conclusion: EASB can be considered an effective alternative to vitreoretinal surgery in simple retinal detachment cases with the added advantage of enhanced microscopic magnification and wide field illumination.

【 授权许可】

Unknown