title: Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal detachment.
abstract: OBJECTIVE
  To assess the treatment of pediatric patients with rhegmatogenous retinal detachment (RRD) by scleral buckling with chandelier illumination.
  
  
  METHODS
  Three eyes were treated in three patients, healthy boys aged 7 years, 12 years, and 11 years, with RRD, macular involvement, and small retinal holes, of which two were preoperatively undetectable. Conventional scleral buckling with cryoretinopexy was performed under the contact lens for vitreous surgery or noncontact wide-angle viewing system using 27-gauge twin chandelier illumination.
  
  
  RESULTS
  The only known predisposing factor for retinal detachment was myopia stronger than 3 D with lattice retinal degeneration in two of the three patients. Retinal reattachment was achieved in all cases without intra- or postoperative complications. However, visual recovery was limited in one of the three patients.
  
  
  CONCLUSIONS
  Scleral buckling with chandelier illumination is effective for pediatric RRD, especially if the retinal hole is difficult to detect preoperatively. However, visual recovery was sometimes limited because of macular involvement due to late diagnosis, which is one of the characteristic features of pediatric RRD.
authors: Department of Ophthalmology, Juntendo University Nerima Hospital, Tokyo, Japan.
authors: Toshiyuki
authors: T
authors: Yokoyama
authors: Department of Ophthalmology, Juntendo University Nerima Hospital, Tokyo, Japan.
authors: Koki
authors: K
authors: Kanbayashi
authors: Department of Ophthalmology, Juntendo University Nerima Hospital, Tokyo, Japan.
authors: Tamaki
authors: T
authors: Yamaguchi
keywords: chandelier illumination; pediatric rhegmatogenous retinal detachment; scleral buckling
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