title: Outcomes of scleral buckling using chandelier endoillumination.
abstract: OBJECTIVE
  To report the results and complications of scleral buckling for the treatment of rhegmatogenous retinal detachment (RRD) using 25-gauge chandelier endoillumination.
  
  
  METHODS
  A total of 61 patients (61 eyes) with RRD were treated with scleral buckling. For the sclera buckling procedure, a 25-gauge chandelier was inserted through the pars plana for intra-ocular illumination, and retinal tears were identified and treated with episcleral cryotherapy under surgical microscope. On postoperative days 1, 3 and 7, the intra-ocular pressure was measured by a non-contact tonometer. On postoperative months 1 and 3, ultrasound biomicroscopy was used to examine the pars plana incision.
  
  
  RESULTS
  In the surgical procedure, there was no lenticular or retinal damage due to the chandelier insertion. There was no conjunctival bleb formation at pars plana incision and no incidence of endophthalmitis after surgery. The mean intra-ocular pressure was 15.74 ± 2.98, 15.83 ± 2.76 and 16.14 ± 2.52 mmHg on postoperative days 1, 3 and 7, respectively. The one-time retinal reattachment rate was 93.4%. No visible vitreous incarceration was found in the incision of the pars plana.
  
  
  CONCLUSIONS
  There was no complication found due to the chandelier insertion in early postoperative period. Chandelier endoillumination is a feasible method for retinal visualization under surgical microscope during scleral buckling.
authors.affiliation: Department of ophthalmology, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China.|Peking University Eye Center, Peking University Third Hospital, Beijing, China.
authors.forename: Yuntao
authors.initials: Y
authors.lastname: Hu
authors.affiliation: Department of ophthalmology, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China.|Peking University Eye Center, Peking University Third Hospital, Beijing, China.
authors.forename: Shancheng
authors.initials: S
authors.lastname: Si
authors.affiliation: Peking University Eye Center, Peking University Third Hospital, Beijing, China.
authors.forename: Ke
authors.initials: K
authors.lastname: Xu
authors.affiliation: Peking University Eye Center, Peking University Third Hospital, Beijing, China.
authors.forename: Huijin
authors.initials: H
authors.lastname: Chen
authors.affiliation: Peking University Eye Center, Peking University Third Hospital, Beijing, China.
authors.forename: Liang
authors.initials: L
authors.lastname: Han
authors.affiliation: Peking University Eye Center, Peking University Third Hospital, Beijing, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Wang
authors.affiliation: Peking University Eye Center, Peking University Third Hospital, Beijing, China.
authors.forename: Zhizhong
authors.initials: Z
authors.lastname: Ma
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008027:Light; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D019721:Ophthalmoscopes; D012160:Retina / Q000000981:diagnostic imaging* / Q000601:surgery; D012163:Retinal Detachment / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000295:instrumentation*; D025321:Surgery, Computer-Assisted / Q000295:instrumentation*; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity; D055815:Young Adult
keywords: chandelier; endoillumination; rhegmatogenous retinal detachment; scleral buckling; surgical microscope; ultrasound biomicroscopy (UBM)