Department of Ophthalmology, Bezmialem Vakif University, Istanbul, Turkey.
Ophthalmologica. 2012;227(2):107-10. doi: 10.1159/000333101. Epub 2011 Nov 10.
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.
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.
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.
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.
评估巩膜扣带手术的结果，使用非接触广角观察系统观察眼底，对无增生性玻璃体视网膜病变的孔源性视网膜脱离患者进行治疗。
16 例（16 只眼）孔源性视网膜脱离患者接受巩膜扣带手术，使用非接触广角观察系统，同时在睫状体平坦部将 25G 光导纤维插入巩膜。
患者平均年龄为 53.6±13.7 岁，平均随访时间为 13.4±2.8 个月。16 只眼中 13 只（81%）视网膜复位。由于 2 只眼发生增生性玻璃体视网膜病变，3 只眼行玻璃体切割联合硅油注入；1 只眼由于冷冻视网膜凝固时过度压迫导致巩膜穿孔。2 只眼在进行视网膜下液引流时出现局限性视网膜下出血。
非接触广角观察系统联合 25G 光导纤维照明同时用于眼底观察，将显微手术和间接检眼镜的优点引入到巩膜扣带手术中。
