Related Experiment Video
Updated: May 27, 2026
05:05
Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
Scleral buckling with a non-contact wide-angle viewing system
Cengiz Aras1, Didar Ucar, Arif Koytak
1Department of Ophthalmology, Bezmialem Vakif University, Istanbul, Turkey. carasmd@gmail.com
Summary
Scleral buckling surgery using a non-contact wide-angle viewing system achieved retinal reattachment in 81% of patients with rhegmatogenous retinal detachment. This technique combines microsurgery and indirect ophthalmoscopy advantages for improved outcomes.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Retinal Diseases
Background:
- Rhegmatogenous retinal detachment (RRD) is a serious ocular condition requiring surgical intervention.
- Scleral buckling is a traditional surgical method for RRD repair.
- Limitations in visualization can impact surgical outcomes.
Purpose of the Study:
- To evaluate the efficacy of scleral buckling surgery.
- To assess the use of a non-contact wide-angle viewing system for fundus visualization during the procedure.
- To determine outcomes in patients with RRD without proliferative vitreoretinopathy.
Main Methods:
- Scleral buckling surgery was performed on 16 eyes of 16 patients.
- A non-contact wide-angle viewing system was utilized for fundus visualization.
- A 25-gauge illumination fiber was inserted into the sclera at the pars plana.
Main Results:
- Retinal reattachment was successful in 13 out of 16 eyes (81%).
- Complications included proliferative vitreoretinopathy in 2 eyes and scleral perforation in 1 eye, necessitating vitrectomy.
- Limited subretinal hemorrhage occurred in 2 eyes during subretinal fluid drainage.
Conclusions:
- The combined use of a non-contact wide-angle viewing system and fiber optic illumination enhances scleral buckling surgery.
- This approach integrates benefits of microsurgery and indirect ophthalmoscopy.
- It offers a potentially improved method for visualizing the fundus during RRD repair.
Related Concept Videos
01:25Glaucoma: Overview
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
01:28Angle Closure Glaucoma: Treatment
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...