title: Scleral buckling with a non-contact wide-angle viewing system.
abstract: OBJECTIVE
  To assess the outcome of scleral buckling surgery using a non-contact wide-angle viewing system for fundus visualization in patients with rhegmatogenous retinal detachment without proliferative vitreoretinopathy.
  
  
  METHODS
  Sixteen eyes of 16 patients underwent scleral buckling using a non-contact wide-angle viewing system combined with a 25-gauge illumination fibre inserted into the sclera at the pars plana.
  
  
  RESULTS
  The mean age of the patients was 53.6 ± 13.7 years and the mean follow-up time was 13.4 ± 2.8 months. Retinal reattachment was achieved in 13 of the 16 eyes (81%). Three eyes underwent vitrectomy with silicone oil injection because of development of proliferative vitreoretinopathy in 2 eyes and scleral perforation due to excessive indentation during cryoretinopexy in 1 eye. Two eyes developed limited subretinal haemorrhage during subretinal fluid drainage.
  
  
  CONCLUSIONS
  Simultaneous use of a non-contact wide-angle viewing system combined with a 25-gauge light fibre illumination for fundus visualization brings the advantages of microsurgery and indirect ophthalmoscopy into scleral buckling surgery.
authors.affiliation: Department of Ophthalmology, Bezmialem Vakif University, Istanbul, Turkey. carasmd@gmail.com
authors.forename: Cengiz
authors.initials: C
authors.lastname: Aras
authors.forename: Didar
authors.initials: D
authors.lastname: Ucar
authors.forename: Arif
authors.initials: A
authors.lastname: Koytak
authors.forename: Huseyin
authors.initials: H
authors.lastname: Yetik
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005336:Fiber Optic Technology; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008875:Middle Aged; D009887:Ophthalmoscopy / Q000379:methods*; D011446:Prospective Studies; D012163:Retinal Detachment / Q000601:surgery*; D012591:Scleral Buckling; D012827:Silicone Oils / Q000008:administration & dosage; D016896:Treatment Outcome; D014821:Vitrectomy; D055815:Young Adult
chemical_list: D012827:Silicone Oils