Modified Scleral Buckling Technique Using Endoillumination and Non Contact Wide Angle Viewing System

Abstract

Purpose: To assess feasibility and surgical outcome of a new scleral buckling technique for rhegmatogenous retinal detachment using endo illumination and noncontact wide angle viewing system.
Material and Methods: Eleven eyes of 11 patients underwent modified scleral buckling for rhegmatogenous retinal detachment. A custom modified 23 G endo illuminator and noncontact wide angle viewing system was utilized instead of binocular indirect ophthalmoscope to visualize fundus intra operatively.
Results: The mean age of patients was 45.3 years. Out of 11 patients, 9 patients (82%) achieved retinal reattachment while 2 patients had to undergo pars plana vitrectomy with silicone oil tamponade due to development of proliferative vitreoretinopathy. 8 (72%) patients achieved stabilization / improvement in visual acuity. 2 patients had minimal subretinal hemorrhage at the time of subretinal fluid drainage.
Conclusion: Combining wide angle viewing system and microsurgery with scleral buckling provides a useful and safe alternative for viewing fundus during retinal reattachment surgery.