Chandelier-assisted scleral buckling using wide angle viewing contact lens for pseudophakic retinal detachment repair
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摘要
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.
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.
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.
引文
1 Mahroo OA,Dybowski R,Wong R,Williamson TH.Characteristics of rhegmatogenous retinal detachment in pseudophakic and phakic eyes.Eye(Lond)2012;26(8):1114-1121.
2 Narayanan R,Tyagi M,Hussein A,Chhablani J,Apte RS.Scleral buckling with wide-angled endoillumination as a surgical educational tool.Retina 2016;36(4):830-833.
3 Chen SN,Lian Ie B,Wei YJ.Epidemiology and clinical characteristics of rhegmatogenous retinal detachment in Taiwan.Br J Ophthalmol2016;100(9):1216-1220.
4 Lois N,Wong D.Pseudophakic retinal detachment.Surv Ophthalmol2003;48(5):467-487.
5 Ross WH,Lavina A.Pneumatic retinopexy,scleral buckling,and vitrectomy surgery in the management of pseudophakic retinal detachments.Can J Ophthalmol 2008;43(1):65-72.
6 Seider MI,Nomides RE,Hahn P,Mruthyunjaya P,Mahmoud TH.Scleral buckling with chandelier illumination.J Ophthalmic Vis Res2016;11(3):304-309.
7 Ho CL,Chen KJ,See LC.Selection of scleral buckling for primary retinal detachment.Ophthalmologica 2002;216(1):33-39.
8 Aras C,Ucar D,Koytak A,Yetik H.Scleral buckling with a non-contact wide-angle viewing system.Ophthalmologica 2012;227(2):107-110.
9 Gogia V,Venkatesh P,Gupta S,Kakkar A,Garg S.Endoilluminatorassisted scleral buckling:our results.Indian J Ophthalmol 2014;62(8):893-894.
10 Imai H,Tagami M,Azumi A.Scleral buckling for primary rhegmatogenous retinal detachment using noncontact wide-angle viewing system with a cannula-based 25 G chandelier endoilluminator.Clin Ophthalmol 2015;9:2103-2107.
11 Hu YT,Si SC,Xu K,Chen HJ,Han L,Wang X,Ma ZZ.Outcomes of scleral buckling using chandelier endoillumination.Acta Ophthalmol2017;95(6):591-594.
12 Nam KY,Kim WJ,Jo YJ,Kim JY.Scleral buckling technique using a 25-gauge chandelier endoilluminator.Retina 2013;33(4):880-882.
13 Nagpal M,Bhardwaj S,Mehrotra N.Scleral buckling for rhegmatogenous retinal detachment using vitrectomy-based visualization systems and chandelier illumination.Asia Pac J Ophthalmol(Phila)2013;2(3):165-168.
14 Lincoff H,Kreissig I.Finding the retinal hole in the pseudophakic eye with detachment.Am J Ophthalmol 1994;117(4):442-446.
15 Machemer R,Aaberg TM,Freeman HM,Irvine AR,Lean JS,Michels RM.An updated classification of retinal detachment with proliferative vitreoretinopathy.Am J Ophthalmol 1991;112(2):159-165.
16 Toyokawa N,Kimura H,Matsumura M,Kuroda S.Incidence of lateonset ocular hypertension following uncomplicated pars plana vitrectomy in pseudophakic eyes.Am J Ophthalmol 2015;159(4):727-732.
17 Cinar E,Zengin MO,Kucukerdonmez C.Evaluation of corneal endothelial cell damage after vitreoretinal surgery:comparison of different endotamponades.Eye(Lond)2015;29(5):670-674.
18 Ricker LJ,Kessels AG,de Jager W,Hendrikse F,Kijlstra A,la Heij EC.Prediction of proliferative vitreoretinopathy after retinal detachment surgery:potential of biomarker profiling.Am J Ophthalmol2012;154(2):347-354.e2.
19 Christoforidis JB,Williams MM,Wang J,Jiang A,Pratt C,AbdelRasoul M,Hinkle GH,Knopp MV.Anatomic and pharmacokinetic properties of intravitreal bevacizumab and ranibizumab after vitrectomy and lensectomy.Retina 2013;33(5):946-952.
20 Oshima Y.Choices of wide-angle viewing systems for modern vitreoretinal surgery:a semi-quantitative evaluation of the visual angle field and imaging contrast.Retin Today 2012;5:37-42.
21 Newsom RS,Wainwright AC,Canning CR.Local anaesthesia for 1221vitreoretinal procedures.Br J Ophthalmol 2001;85(2):225-227.
22 Calenda E,Olle P,Muraine M,Brasseur G.Peribulbar anesthesia and sub-Tenon injection for vitreoretinal surgery:300 cases.Acta Ophthalmol Scand 2000;78(2):196-199.
23 Mehta S,Hubbard GB 3rd.Avoiding neck strain in vitreoretinal surgery:an ergonomic approach to indirect ophthalmoscopy and laser photocoagulation.Retina 2013;33(2):439-441.
24 Cankurtaran V,Citirik M,Simsek M,Tekin K,Teke MY.Anatomical and functional outcomes of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment.Bosn J Basic Med Sci 2017;17(1):74-80.
25 Pournaras CJ,Kapetanios AD.Primary vitrectomy for pseudophakic retinal detachment:a prospective non-randomized study.Eur JOphthalmol 2003;13(3):298-306.
26 Brazitikos PD,Androudi S,Christen WG,Stangos NT.Primary pars plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment:a randomized clinical trial.Retina2005;25(8):957-964.
27 Sun Q,Sun T,Xu Y,Yang XL,Xu X,Wang BS,Nishimura T,Heimann H.Primary vitrectomy versus scleral buckling for the treatment of rhegmatogenous retinal detachment:a meta-analysis of randomized controlled clinical trials.Curr Eye Res 2012;37(6):492-499.
28 Soni C,Hainsworth DP,Almony A.Surgical management of rhegmatogenous retinal detachment:a meta-analysis of randomized controlled trials.Ophthalmology 2013;120(7):1440-1447.
29 Moradian S,Ahmadieh H,Faghihi H,Ramezani A,Entezari M,Banaee T,Heidari E,Behboudi H,Yasseri M.Comparison of four surgical techniques for management of pseudophakic and aphakic retinal detachment:a multicenter clinical trial.Graefes Arch Clin Exp Ophthalmol 2016;254(9):1743-1751.
30 Walter P,Hellmich M,Baumgarten S,Schiller P,Limburg E,Agostini H,Pielen A,Helbig H,Lommatzsch A,R?ssler G,Mazinani B,VIPER Study Group.Vitrectomy with and without encircling band for pseudophakic retinal detachment:VIPER Study Report No 2-main results.Br J Ophthalmol 2017;101(6):712-718.
31 Kessner R,Barak A.Pseudophakic rhegmatogenous retinal detachment:combined pars plana vitrectomy and scleral buckle versus pars plana vitrectomy alone.Graefes Arch Clin Exp Ophthalmol 2016;254(11):2183-2189.
32 Haritoglou C,Brandlhuber U,Kampik A,Priglinger SG.Anatomic success of scleral buckling for rhegmatogenous retinal detachment:a retrospective study of 524 cases.Ophthalmologica 2010;224(5):312-318.
33 Adelman RA,Parnes AJ,Michalewska Z,Ducournau D,European Vitreo-Retinal Society(EVRS)Retinal Detachment Study Group.Clinical variables associated with failure of retinal detachment repair:the European vitreo-retinal society retinal detachment study report number 4.Ophthalmology 2014;121(9):1715-1719.
34 Massicotte E,Hammamji K,Landry T,H?user W,Fitzcharles MA.Postoperative pain management in vitreoretinal surgery for retinal detachment:a systematic review of randomized controlled trials.Journal of Vitreo Retinal Diseases 2018;2(3):160-175.
35 Kasbekar SA,Wong V,Young J,Stappler T,Durnian JM.Strabismus following retinal detachment repair:a comparison between scleral buckling and vitrectomy procedures.Eye(Lond)2011;25(9):1202-1206.
36 Sharma YR,Karunanithi S,Azad RV,Vohra R,Pal N,Singh DV,Chandra P.Functional and anatomic outcome of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment.Acta Ophthalmol Scand 2005;83(3):293-297.
37 Nassaralla Junior JJ,do Amaral Nassaralla BR.Refractive changes after scleral buckling surgery.Arq Bras Oftalmol 2003;66(5):575-578.
38 Okada Y,Nakamura S,Kubo E,Oishi N,Takahashi Y,Akagi Y.Analysis of changes in corneal shape and refraction following scleral buckling surgery.Jpn J Ophthalmol 2000;44(2):132-138.
39 Salicone A,Smiddy WE,Venkatraman A,Feuer W.Visual recovery after scleral buckling procedure for retinal detachment.Ophthalmology2006;113(10):1734-1742.
40 Sakono T,Otsuka H,Shiihara H,Yoshihara N,Sakamoto T.Acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoillumination.Am J Ophthalmol Case Rep 2017;8:7-10.
2 Narayanan R,Tyagi M,Hussein A,Chhablani J,Apte RS.Scleral buckling with wide-angled endoillumination as a surgical educational tool.Retina 2016;36(4):830-833.
3 Chen SN,Lian Ie B,Wei YJ.Epidemiology and clinical characteristics of rhegmatogenous retinal detachment in Taiwan.Br J Ophthalmol2016;100(9):1216-1220.
4 Lois N,Wong D.Pseudophakic retinal detachment.Surv Ophthalmol2003;48(5):467-487.
5 Ross WH,Lavina A.Pneumatic retinopexy,scleral buckling,and vitrectomy surgery in the management of pseudophakic retinal detachments.Can J Ophthalmol 2008;43(1):65-72.
6 Seider MI,Nomides RE,Hahn P,Mruthyunjaya P,Mahmoud TH.Scleral buckling with chandelier illumination.J Ophthalmic Vis Res2016;11(3):304-309.
7 Ho CL,Chen KJ,See LC.Selection of scleral buckling for primary retinal detachment.Ophthalmologica 2002;216(1):33-39.
8 Aras C,Ucar D,Koytak A,Yetik H.Scleral buckling with a non-contact wide-angle viewing system.Ophthalmologica 2012;227(2):107-110.
9 Gogia V,Venkatesh P,Gupta S,Kakkar A,Garg S.Endoilluminatorassisted scleral buckling:our results.Indian J Ophthalmol 2014;62(8):893-894.
10 Imai H,Tagami M,Azumi A.Scleral buckling for primary rhegmatogenous retinal detachment using noncontact wide-angle viewing system with a cannula-based 25 G chandelier endoilluminator.Clin Ophthalmol 2015;9:2103-2107.
11 Hu YT,Si SC,Xu K,Chen HJ,Han L,Wang X,Ma ZZ.Outcomes of scleral buckling using chandelier endoillumination.Acta Ophthalmol2017;95(6):591-594.
12 Nam KY,Kim WJ,Jo YJ,Kim JY.Scleral buckling technique using a 25-gauge chandelier endoilluminator.Retina 2013;33(4):880-882.
13 Nagpal M,Bhardwaj S,Mehrotra N.Scleral buckling for rhegmatogenous retinal detachment using vitrectomy-based visualization systems and chandelier illumination.Asia Pac J Ophthalmol(Phila)2013;2(3):165-168.
14 Lincoff H,Kreissig I.Finding the retinal hole in the pseudophakic eye with detachment.Am J Ophthalmol 1994;117(4):442-446.
15 Machemer R,Aaberg TM,Freeman HM,Irvine AR,Lean JS,Michels RM.An updated classification of retinal detachment with proliferative vitreoretinopathy.Am J Ophthalmol 1991;112(2):159-165.
16 Toyokawa N,Kimura H,Matsumura M,Kuroda S.Incidence of lateonset ocular hypertension following uncomplicated pars plana vitrectomy in pseudophakic eyes.Am J Ophthalmol 2015;159(4):727-732.
17 Cinar E,Zengin MO,Kucukerdonmez C.Evaluation of corneal endothelial cell damage after vitreoretinal surgery:comparison of different endotamponades.Eye(Lond)2015;29(5):670-674.
18 Ricker LJ,Kessels AG,de Jager W,Hendrikse F,Kijlstra A,la Heij EC.Prediction of proliferative vitreoretinopathy after retinal detachment surgery:potential of biomarker profiling.Am J Ophthalmol2012;154(2):347-354.e2.
19 Christoforidis JB,Williams MM,Wang J,Jiang A,Pratt C,AbdelRasoul M,Hinkle GH,Knopp MV.Anatomic and pharmacokinetic properties of intravitreal bevacizumab and ranibizumab after vitrectomy and lensectomy.Retina 2013;33(5):946-952.
20 Oshima Y.Choices of wide-angle viewing systems for modern vitreoretinal surgery:a semi-quantitative evaluation of the visual angle field and imaging contrast.Retin Today 2012;5:37-42.
21 Newsom RS,Wainwright AC,Canning CR.Local anaesthesia for 1221vitreoretinal procedures.Br J Ophthalmol 2001;85(2):225-227.
22 Calenda E,Olle P,Muraine M,Brasseur G.Peribulbar anesthesia and sub-Tenon injection for vitreoretinal surgery:300 cases.Acta Ophthalmol Scand 2000;78(2):196-199.
23 Mehta S,Hubbard GB 3rd.Avoiding neck strain in vitreoretinal surgery:an ergonomic approach to indirect ophthalmoscopy and laser photocoagulation.Retina 2013;33(2):439-441.
24 Cankurtaran V,Citirik M,Simsek M,Tekin K,Teke MY.Anatomical and functional outcomes of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment.Bosn J Basic Med Sci 2017;17(1):74-80.
25 Pournaras CJ,Kapetanios AD.Primary vitrectomy for pseudophakic retinal detachment:a prospective non-randomized study.Eur JOphthalmol 2003;13(3):298-306.
26 Brazitikos PD,Androudi S,Christen WG,Stangos NT.Primary pars plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment:a randomized clinical trial.Retina2005;25(8):957-964.
27 Sun Q,Sun T,Xu Y,Yang XL,Xu X,Wang BS,Nishimura T,Heimann H.Primary vitrectomy versus scleral buckling for the treatment of rhegmatogenous retinal detachment:a meta-analysis of randomized controlled clinical trials.Curr Eye Res 2012;37(6):492-499.
28 Soni C,Hainsworth DP,Almony A.Surgical management of rhegmatogenous retinal detachment:a meta-analysis of randomized controlled trials.Ophthalmology 2013;120(7):1440-1447.
29 Moradian S,Ahmadieh H,Faghihi H,Ramezani A,Entezari M,Banaee T,Heidari E,Behboudi H,Yasseri M.Comparison of four surgical techniques for management of pseudophakic and aphakic retinal detachment:a multicenter clinical trial.Graefes Arch Clin Exp Ophthalmol 2016;254(9):1743-1751.
30 Walter P,Hellmich M,Baumgarten S,Schiller P,Limburg E,Agostini H,Pielen A,Helbig H,Lommatzsch A,R?ssler G,Mazinani B,VIPER Study Group.Vitrectomy with and without encircling band for pseudophakic retinal detachment:VIPER Study Report No 2-main results.Br J Ophthalmol 2017;101(6):712-718.
31 Kessner R,Barak A.Pseudophakic rhegmatogenous retinal detachment:combined pars plana vitrectomy and scleral buckle versus pars plana vitrectomy alone.Graefes Arch Clin Exp Ophthalmol 2016;254(11):2183-2189.
32 Haritoglou C,Brandlhuber U,Kampik A,Priglinger SG.Anatomic success of scleral buckling for rhegmatogenous retinal detachment:a retrospective study of 524 cases.Ophthalmologica 2010;224(5):312-318.
33 Adelman RA,Parnes AJ,Michalewska Z,Ducournau D,European Vitreo-Retinal Society(EVRS)Retinal Detachment Study Group.Clinical variables associated with failure of retinal detachment repair:the European vitreo-retinal society retinal detachment study report number 4.Ophthalmology 2014;121(9):1715-1719.
34 Massicotte E,Hammamji K,Landry T,H?user W,Fitzcharles MA.Postoperative pain management in vitreoretinal surgery for retinal detachment:a systematic review of randomized controlled trials.Journal of Vitreo Retinal Diseases 2018;2(3):160-175.
35 Kasbekar SA,Wong V,Young J,Stappler T,Durnian JM.Strabismus following retinal detachment repair:a comparison between scleral buckling and vitrectomy procedures.Eye(Lond)2011;25(9):1202-1206.
36 Sharma YR,Karunanithi S,Azad RV,Vohra R,Pal N,Singh DV,Chandra P.Functional and anatomic outcome of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment.Acta Ophthalmol Scand 2005;83(3):293-297.
37 Nassaralla Junior JJ,do Amaral Nassaralla BR.Refractive changes after scleral buckling surgery.Arq Bras Oftalmol 2003;66(5):575-578.
38 Okada Y,Nakamura S,Kubo E,Oishi N,Takahashi Y,Akagi Y.Analysis of changes in corneal shape and refraction following scleral buckling surgery.Jpn J Ophthalmol 2000;44(2):132-138.
39 Salicone A,Smiddy WE,Venkatraman A,Feuer W.Visual recovery after scleral buckling procedure for retinal detachment.Ophthalmology2006;113(10):1734-1742.
40 Sakono T,Otsuka H,Shiihara H,Yoshihara N,Sakamoto T.Acute bacterial endophthalmitis after scleral buckling surgery with chandelier endoillumination.Am J Ophthalmol Case Rep 2017;8:7-10.