Narayanan Raja, Tyagi Mudit, Hussein Abdullah, Chhablani Jay, Apte Rajendra S
*L. V. Prasad Eye Institute, Hyderabad, India; and †Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri.
Retina. 2016 Apr;36(4):830-3. doi: 10.1097/IAE.0000000000000792.
To describe a technique of wide-angle viewing as an educational tool in scleral buckling for rhegmatogenous retinal detachment.
Retrospective comparative study of the reported technique was performed. Fourteen consecutive patients each who underwent Chandelier-assisted scleral buckling (CSB) or standard scleral buckling (SSB) using indirect ophthalmoscope were included. The primary outcome measure was the proportion of eyes that had successful reattachment of retina.
Mean study eye baseline visual acuity was 20/160 in the CSB group and 20/320 in SSB group. The primary reattachment rate was similar, with 13 of 14 eyes (92.85%) successfully attached in the CSB group and 12 of 14 eyes (85.71%) in the SSB group. The mean visual acuity improved from 20 of 160 to 20 of 80 in the CSB group, and 20 of 320 to 20 of 160 in the SSB group. The surgical time was significantly less in the CSB group (77.85 ± 16.37 minutes) compared with the SSB group (95.71 ± 26.59 minutes, P = 0.037).
Chandelier-assisted buckling had similar outcomes compared with standard buckling. It could be used as a valuable educational tool for teaching fellows by allowing them to simultaneously view the operative steps along with the surgeon.
描述一种广角观察技术，作为孔源性视网膜脱离巩膜扣带术的一种教学工具。
对所报道的技术进行回顾性对比研究。纳入连续14例分别接受吊灯辅助巩膜扣带术（CSB）或使用间接检眼镜的标准巩膜扣带术（SSB）的患者。主要观察指标是视网膜成功复位的眼比例。
CSB组研究眼的平均基线视力为20/160，SSB组为20/320。初次复位率相似，CSB组14眼中有13眼（92.85%）成功复位，SSB组14眼中有12眼（85.71%）成功复位。CSB组平均视力从20/160提高到20/80，SSB组从20/320提高到20/160。CSB组手术时间（77.85±16.37分钟）明显短于SSB组（95.71±26.59分钟，P = 0.037）。
与标准扣带术相比，吊灯辅助扣带术有相似的结果。它可作为一种有价值的教学工具，让学员能与外科医生同时观看手术步骤。
