Chandelier-assisted scleral buckling using wide angle viewing contact lens for pseudophakic retinal detachment repair
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Ashraf Ahmed Nossair. Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo 11562, Egypt. ashrafnossair@yahoo.com

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    Abstract:

    AIM: To evaluate a modified technique for scleral buckling (SB) in pseudophakic retinal detachment (RD). METHODS: A retrospective non-comparative study included 21 consecutive eyes with uncomplicated pseudophakic RD that was repaired by chandelier assisted SB using wide angle viewing (WAV) contact lens. Segmental tire alone was used in 5 eyes (23.81%), and combined with encircling band in 7 eyes (33.33%). Radial sponge alone was used in 3 eyes (14.29%) and combined with encircling band in 6 eyes (28.57%). RESULTS: Primary success rate was (90.48%). External drainage of subretinal fluid was performed in 8 eyes (38.1%). Intraoperative complications included vitreous prolapse at chandelier sclerotomy site in 4 eyes (19.05%) and localized subretinal hemorrhage at drainage site in one eye (4.76%). No case of intraocular lens (IOL) displacement, retinal incarceration or iatrogenic retinal tear was detected. Postoperative complications included choroidal detachment in one eye (4.76%), elevated intraocular pressure in 2 eyes (9.52%), epiretinal membrane formation in one eye (4.76%) and proliferative vitreoretinopathy in 3 eyes (14.29%). Mean postoperative corrected distance visual acuity was 0.7±0.3 logMAR units. CONCLUSION: Chandelier-assisted SB using WAV contact lens is a reliable technique for repairing selected cases of simple pseudophakic RD.

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Ashraf Ahmed Nossair, Wael Ahmed Ewais, Sherif Ahmed Eissa. Chandelier-assisted scleral buckling using wide angle viewing contact lens for pseudophakic retinal detachment repair. Int J Ophthalmol, 2019,12(4):627-633

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Publication History
  • Received:January 06,2018
  • Revised:November 07,2018
  • Adopted:
  • Online: March 06,2019
  • Published: