title: Scleral Buckling for Rhegmatogenous Retinal Detachment Using Vitrectomy-Based Visualization Systems and Chandelier Illumination.
abstract: OBJECTIVE
  The objective of this study was to evaluate an alternative approach to scleral buckling surgery using vitrectomy-based chandelier visualization systems instead of the indirect ophthalmoscope.
  
  
  METHODS
  This was a prospective case series.
  
  
  METHODS
  Ten eyes underwent scleral buckling under microscope using contact wide-angle lens with 25-gauge chandelier illumination and were followed up for 6 months.
  
  
  RESULTS
  An encirclage was done in 8 eyes, and segmental buckle used in 2 eyes. Excellent intraoperative visualization was achieved, and all routine buckling steps were easily replicated with this approach.
  
  
  CONCLUSIONS
  Using contact wide-angle lens along with chandelier illumination under microscope allows good visualization for scleral buckling procedure. This approach may allow excellent visibility with zooming capabilities for each step of the procedure as well as allows transmission to a monitor in the theater for teaching purposes apart from allowing better ergonomics for the surgeon.
authors.affiliation: From the Retina Foundation, Ahmedabad, Gujarat, India.
authors.forename: Manish
authors.initials: M
authors.lastname: Nagpal
authors.forename: Sidharth
authors.initials: S
authors.lastname: Bhardwaj
authors.forename: Navneet
authors.initials: N
authors.lastname: Mehrotra