Format

Send to

Choose Destination
Korean J Ophthalmol. 2018 Apr;32(2):126-133. doi: 10.3341/kjo.2017.0092. Epub 2018 Mar 13.

Scleral Buckling under a Slit-lamp Illumination System with a Contact Wide-angle Viewing Lens Compared with an Indirect Ophthalmoscope.

Author information

1
Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Seoul, Korea.
2
Catholic Institute for Visual Science, The Catholic University of Korea College of Medicine, Seoul, Korea. parkyh@catholic.ac.kr.

Abstract

PURPOSE:

To investigate the outcomes of scleral buckling surgery performed under a slit-lamp illumination system (Visulux) with a contact wide-angle viewing lens (Mini Quad) in patients with rhegmatogenous retinal detachment (RRD) and to compare these outcomes with those of surgery performed under an indirect ophthalmoscope.

METHODS:

By retrospective review of electronic medical records, patients with RRD who had undergone scleral buckling surgery were identified. Scleral buckling surgeries were performed with two illumination instruments, a slit-lamp (SL group) and an indirect ophthalmoscope (IO group). Subretinal fluid drainage, cryopexy, and intravitreal gas injection were performed optionally. At 6 months after surgery, anatomical and functional outcomes were evaluated and compared between the two groups. Operation time was also compared between the two groups.

RESULTS:

Of the 45 total patients (45 eyes), 28 were included in the SL group, and 17 were included in the IO group. In the SL and IO groups, the primary anatomical success rate was 89.3% and 88.2%, respectively (p = 0.92). The logarithm of the minimal angle of resolution change, which reflects improvement in best-corrected visual acuity after surgery, was -0.19 ± 0.38 in the SL group and -0.21 ± 0.63 in the IO group; this difference was not statistically significant (p = 0.91). The mean operation time was significantly shorter in the SL group (78.9 ± 11.8 minutes) than in the IO group (100.0 ± 13.9 minutes, p < 0.001), especially for patients who underwent additional procedures such as subretinal fluid drainage and cryopexy (81.4 ± 12.9 and 103.5 ± 12.3 minutes, respectively, p < 0.001).

CONCLUSIONS:

Scleral buckling surgery performed under a slit-lamp illumination system yielded a similar anatomical success rate and similar functional improvement in RRD compared with surgery performed under an indirect ophthalmoscope. The slit-lamp system could save time, especially in bullous RRD, which requires additional subretinal fluid drainage.

KEYWORDS:

Indirect ophthalmoscope; Retinal detachment; Scleral buckling; Slit lamp

PMID:
29611372
PMCID:
PMC5906397
DOI:
10.3341/kjo.2017.0092
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for KoreaMed Icon for PubMed Central
Loading ...
Support Center