Savastano Alfonso, Weinberg Tamir, Faraldi Francesco, Caporossi Tomaso, Rizzo Stanislao
Department of Ophthalmology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Department of Ophthalmology, Kaplan Medical Center, Rehovot, Israel.
Retina. 2023 Feb 1;43(2):363-366. doi: 10.1097/IAE.0000000000002823. Epub 2020 May 1.
To describe a surgical variant for scleral buckling technique using a chandelier and scleral releasable suture.
We collected retrospectively 20 eyes of 20 patients who underwent to scleral buckling for retinal detachment. In all cases, the surgeons performed the surgical variant of scleral buckling using a 27-gauge (G) chandelier as endoillumination and releasable 7.0 vicryl scleral suture.
None of the operated eyes developed lens opacity or lens marks at the entrance site of the chandelier used during the surgery, and no cataract development was observed as well, during the follow-up. Retinal reattachment was achieved in 19 out of 20 eyes at the first surgery in the follow-up time of 6 months.
The association of chandelier and releasable suture was a useful surgical variant when performing scleral buckling technique for retinal detachment. Complications like lens opacity or lens marks at the entrance site of the chandelier due to the use of chandelier itself can be greatly reduced, as well as complications due to vitreous prolapse from the sclerotomy by using releasable scleral suture.
描述一种使用吊灯和巩膜可松解缝线的巩膜扣带术手术变体。
我们回顾性收集了20例因视网膜脱离接受巩膜扣带术患者的20只眼。在所有病例中，手术医生采用27号（G）吊灯进行眼内照明，并使用可松解的7.0薇乔巩膜缝线进行巩膜扣带术的手术变体。
所有手术眼在手术期间使用的吊灯入口处均未出现晶状体混浊或晶状体痕迹，随访期间也未观察到白内障进展。在6个月的随访期内，20只眼中有19只在首次手术时实现了视网膜复位。
在进行视网膜脱离的巩膜扣带术时，吊灯与可松解缝线的联合应用是一种有用的手术变体。使用吊灯本身导致的晶状体混浊或吊灯入口处的晶状体痕迹等并发症以及使用可松解巩膜缝线导致玻璃体从巩膜切口脱出的并发症均可大大减少。
