Author: Mehmet Citirik (Turkey)
Co-authors: Cagri Ilhan, Selda Celik Dulger, Mesut Ozdemir,
Purpose
To investigate the anatomical and functional outcomes of indirect ophthalmoscopy versus chandelier illumination in scleral buckling surgery due to rhegmatogenous retinal detachment (RRD).
Setting/Venue
University of Health Sciences, Ankara Ulucanlar Eye Education and Research Hospital.
Methods
A retrospective observational includes 50 RRD patients who underwent scleral buckling surgery. Conventional surgery with indirect ophthalmoscopy was performed for 30 patients (Group 1) and retinal examination under chandelier illumination was performed for 20 patients (Group 2) during the conventional surgery. The anatomical and functional outcomes of the two groups were compared.
Results
The demographic characteristics of the groups were similar (p >0.050). The preoperative clinical characteristics of the groups including preoperative time, visual acuity, intraocular pressure, presence of associated risk factors (complicated cataract surgery, trauma, pathological myopia), extensity of attached retina, presence of macular involvement, and retinal tear number and localization, were also similar (p>0.05). There was no difference between the groups in terms of postoperative visual acuity, intraocular pressure, the rate of re-operation, and the time of re-operation (p >0.05). On the other hand, a total of post-operative complications including epiretinal membrane, glaucoma, proliferative vitreoretinopathy, foveal atrophy, gaze restriction, cystoid macular edema, and macular hole occurred more common in Group 1 (p =0.001)
Conlusions
Despite postoperative visual acuity is similar, using chandelier illumination in addition to conventional scleral buckling surgery techniques has lowering effects on the postoperative complication rate.
Financial Disclosure
None
Comments
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