Functional Outcome of Chandelier-Assisted Scleral Buckling in Rhegmatogenous Retinal Detachment: A Systematic Review...

Area of Science:

• Ophthalmology
• Retinal Surgery
• Surgical Techniques

Background:

• Rhegmatogenous retinal detachment (RRD) is a sight-threatening condition requiring prompt surgical intervention.
• Standard scleral buckling (SSB) is a traditional surgical approach for RRD repair.
• Limitations of SSB include longer operative times and potential for complications.

Purpose of the Study:

• To evaluate the functional outcomes of chandelier-assisted scleral buckling (CSB) for RRD.
• To compare the efficacy and efficiency of CSB against standard scleral buckling (SSB).

Main Methods:

• A systematic review and meta-analysis of studies published up to March 2024.
• Inclusion of studies reporting functional outcomes, specifically best-corrected visual acuity (BCVA), after CSB.
• Meta-analysis of BCVA improvement, change in BCVA (ΔBCVA), and operation time; risk of bias and publication bias were assessed.

Main Results:

• Analysis of 27 studies involving 1258 eyes showed significant BCVA improvement after CSB (mean difference [MD]: -0.51).
• CSB demonstrated comparable ΔBCVA and anatomical outcomes to SSB.
• CSB significantly reduced operation time compared to SSB (MD: -18.87 min).

Conclusions:

• CSB is an effective surgical option for RRD, leading to significant BCVA improvement.
• CSB offers comparable functional and anatomical results to SSB but with a shorter surgical duration.
• CSB presents a viable and efficient alternative to traditional scleral buckling for RRD management.