Updated chandelier illumination-assisted scleral buckling using 3D visualization system

Mihori Kita, Mami Kusaka, Hiroshi Yamada, Sachiyo Hama Department of Ophthalmology, National Organization Kyoto Medical Center, Kyoto, JapanCorrespondence: Mihori KitaDepartment of Ophthalmology, National Organization Kyoto Medical Center, 1-1 Mukouhata-cho, Fukakusa, Fushimi-ku, Kyoto 612-8555, Jap...

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Autores principales: Kita M, Kusaka M, Yamada H, Hama S
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:70d042ebd526490096542ef9140971a82021-12-02T03:54:25ZUpdated chandelier illumination-assisted scleral buckling using 3D visualization system1177-5483https://doaj.org/article/70d042ebd526490096542ef9140971a82019-09-01T00:00:00Zhttps://www.dovepress.com/updated-chandelier-illumination-assisted-scleral-buckling-using-3d-vis-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Mihori Kita, Mami Kusaka, Hiroshi Yamada, Sachiyo Hama Department of Ophthalmology, National Organization Kyoto Medical Center, Kyoto, JapanCorrespondence: Mihori KitaDepartment of Ophthalmology, National Organization Kyoto Medical Center, 1-1 Mukouhata-cho, Fukakusa, Fushimi-ku, Kyoto 612-8555, JapanTel +81 75 641 9161Fax +81 75 643 4325Email mihorik@kuhp.kyoto-u.ac.jpPurpose: To assess the updated chandelier illumination-assisted scleral buckle procedures using a 3D visualization system.Subjects and methods: We report a single-center, retrospective, consecutive surgical case series of 18 eyes of 16 patients that underwent scleral buckle procedures combining the use of chandelier endoillumination, a noncontact wide-angle viewing system, an anti-drying contact lens, and a recently developed 3D visualization system. The mean age of the patients was 30.2 years, and the mean follow-up time was 11.3 months.Results: Retinal reattachment was achieved after the first surgery in all cases. There were no cases that required conversion of the 3D visualization to a conventional microscopic view. This updated chandelier-assisted scleral buckle procedure was successfully performed without any intraoperative or postoperative complications, except for the occurrence of postoperative diplopia in one case in which a supplementary radial buckle was used for a deep tear.Conclusion: The updated chandelier illumination-assisted scleral buckling surgery using a 3D visualization system appears to be a valuable and promising method for managing rhegmatogenous retinal detachment due to atrophic holes in lattice degeneration or ciliary tears in younger cases.Keywords: scleral buckling, chandelier illumination, wide-angle viewing system, 3D visualization system, retinal detachment, contact lensKita MKusaka MYamada HHama SDove Medical Pressarticlescleral bucklingchandelier illuminationwide-angle viewing system3D visualization systemretinal detachmentcontact lensOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 1743-1748 (2019)
institution DOAJ
collection DOAJ
language EN
topic scleral buckling
chandelier illumination
wide-angle viewing system
3D visualization system
retinal detachment
contact lens
Ophthalmology
RE1-994
spellingShingle scleral buckling
chandelier illumination
wide-angle viewing system
3D visualization system
retinal detachment
contact lens
Ophthalmology
RE1-994
Kita M
Kusaka M
Yamada H
Hama S
Updated chandelier illumination-assisted scleral buckling using 3D visualization system
description Mihori Kita, Mami Kusaka, Hiroshi Yamada, Sachiyo Hama Department of Ophthalmology, National Organization Kyoto Medical Center, Kyoto, JapanCorrespondence: Mihori KitaDepartment of Ophthalmology, National Organization Kyoto Medical Center, 1-1 Mukouhata-cho, Fukakusa, Fushimi-ku, Kyoto 612-8555, JapanTel +81 75 641 9161Fax +81 75 643 4325Email mihorik@kuhp.kyoto-u.ac.jpPurpose: To assess the updated chandelier illumination-assisted scleral buckle procedures using a 3D visualization system.Subjects and methods: We report a single-center, retrospective, consecutive surgical case series of 18 eyes of 16 patients that underwent scleral buckle procedures combining the use of chandelier endoillumination, a noncontact wide-angle viewing system, an anti-drying contact lens, and a recently developed 3D visualization system. The mean age of the patients was 30.2 years, and the mean follow-up time was 11.3 months.Results: Retinal reattachment was achieved after the first surgery in all cases. There were no cases that required conversion of the 3D visualization to a conventional microscopic view. This updated chandelier-assisted scleral buckle procedure was successfully performed without any intraoperative or postoperative complications, except for the occurrence of postoperative diplopia in one case in which a supplementary radial buckle was used for a deep tear.Conclusion: The updated chandelier illumination-assisted scleral buckling surgery using a 3D visualization system appears to be a valuable and promising method for managing rhegmatogenous retinal detachment due to atrophic holes in lattice degeneration or ciliary tears in younger cases.Keywords: scleral buckling, chandelier illumination, wide-angle viewing system, 3D visualization system, retinal detachment, contact lens
format article
author Kita M
Kusaka M
Yamada H
Hama S
author_facet Kita M
Kusaka M
Yamada H
Hama S
author_sort Kita M
title Updated chandelier illumination-assisted scleral buckling using 3D visualization system
title_short Updated chandelier illumination-assisted scleral buckling using 3D visualization system
title_full Updated chandelier illumination-assisted scleral buckling using 3D visualization system
title_fullStr Updated chandelier illumination-assisted scleral buckling using 3D visualization system
title_full_unstemmed Updated chandelier illumination-assisted scleral buckling using 3D visualization system
title_sort updated chandelier illumination-assisted scleral buckling using 3d visualization system
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/70d042ebd526490096542ef9140971a8
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AT kusakam updatedchandelierilluminationassistedscleralbucklingusing3dvisualizationsystem
AT yamadah updatedchandelierilluminationassistedscleralbucklingusing3dvisualizationsystem
AT hamas updatedchandelierilluminationassistedscleralbucklingusing3dvisualizationsystem
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