Authors: Ashish Markan 1; Manasi Tripathi 2; Shivani Chhabra 3; Pawan Gupta 3 Authors‘ workplace: All India Institute of Medical Sciences, New Delhi, India 1; I Clinix Advanced Eye and Retina Centre, New Delhi, India 2; Eye7 Chaudhary Eye Hospitals, New Delhi, India 3 Published in: Čes. a slov. Oftal., 82, 2026, No. 2, p. 101-105 Category: Original Article doi: https://doi.org/10.31348/2025/41
Purpose: To compare the anatomical and functional outcomes, surgical duration, and complication rates between chandelier-assisted segmental scleral buckling (SB) and conventional SB in the treatment of primary rhegmatogenous retinal detachment (RRD). Material and Methods: This retrospective comparative study included 19 phakic patients with primary RRD who underwent either conventional SB (Group 1, n = 9) or chandelier-assisted segmental SB (Group 2, n = 10). Patients were selected based on specific inclusion criteria including presence of anterior retinal breaks and PVR ≤ Grade C1. Group 1 underwent standard 360-degree SB with indirect ophthalmoscopy, while Group 2 underwent segmental SB with limited peritomy and chandelier-assisted wide-angle visualization under a surgical microscope. Primary outcomes included best-corrected visual acuity (BCVA) and anatomical reattachment at 1-year follow-up. Secondary outcomes included surgical duration and epiretinal membrane (ERM) formation. Results: Both groups demonstrate successful retinal reattachment in all cases and significant improvement in BCVA at one year, with no statistically significant intergroup difference. Mean surgical duration was significantly shorter in the chandelier-assisted group (35.1 ±21.2 minutes) compared to the conventional group (70.2 ±23.2 minutes, p < 0.05). ERM formation was not significantly different between the groups, and no major intraoperative complications were noted. Conclusion: Chandelier-assisted segmental SB is a safe and effective technique for managing selected cases of primary RRD. It offers comparable anatomical and visual outcomes to conventional SB, with the added advantages of reduced surgical time and improved intraoperative visualization.
outcomes – chandelier-assisted – segmental scleral buckling – conventional scleral buckling – RRD
1. Heimann H, Bartz-Schmidt KU, Bornfeld N, et al. Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment: a prospective randomized multicenter clinical study. Ophthalmology. 2007 Dec;114(12):2142-2154.
2. Fabian ID, Kinori M, Efrati M, et al. Pneumatic retinopexy for the repair of primary rhegmatogenous retinal detachment: a 10-year retrospective analysis. JAMA Ophthalmol. 2013 Feb;131(2):166-171.
3. Schwartz SG, Kuhl DP, McPherson AR, Holz ER, Mieler WF. Twenty-Year Follow-up for Scleral Buckling. Arch Ophthalmol. 2002 Mar 1;120(3):325-329.
4. Minihan M, Tanner V, Williamson T. Primary rhegmatogenous retinal detachment: 20 years of change. Br J Ophthalmol. 2001 May;85(5):546-548.
5. Kreissig I, Rose D, Jost B. Minimized surgery for retinal detachments with segmental buckling and nondrainage. An 11-year follow-up. Retina Phila Pa. 1992;12(3):224-231.
6. Governatori L, Scampoli A, Culiersi C, et al. Chandelier-Assisted Scleral Buckling: A Literature Review. Vision. 2023 Jun 28;7(3):47.
7. Di Lauro S, Kadhim MR, Charteris DG, Pastor JC. Classifications for Proliferative Vitreoretinopathy (PVR): An Analysis of Their Use in Publications over the Last 15 Years. J Ophthalmol. 2016;2016 : 7807596.
8. Williams PD, Hariprasad SM. Evolving trends in primary retinal detachment repair: microincisional vitrectomy and the role of OCT. Ophthalmic Surg Lasers Imaging Retina. 2014;45(4):268-272.
9. Seider MI, Nomides REK, Hahn P, Mruthyunjaya P, Mahmoud TH. Scleral Buckling with Chandelier Illumination. J Ophthalmic Vis Res. 2016;11(3):304-309.
10. Tomita Y, Kurihara T, Uchida A, et al. Wide-Angle Viewing System versus Conventional Indirect Ophthalmoscopy for Scleral Buckling. Sci Rep. 2015 Sep 2;5 : 13256.
11. Cohen E, Rosenblatt A, Bornstein S, Loewenstein A, Barak A, Schwartz S. Wide-angled endoillumination vs traditional scleral buckling surgery for retinal detachment - a comparative study. Clin Ophthalmol Auckl NZ. 2019;13 : 287-293.
12. Kao YS, Chen CY, Huang YT, Chen SN. Comparison of Chandelier-Assisted versus Standard Scleral Buckling for the Treatment of Primary Rhegmatogenous Retinal Detachment: A Systematic Review and Meta-Analysis. Ophthalmologica. 2024 Aug 19;247(5 – 6):345-354.
13. Chhablani J, Balakrishnan D. Chandelier-assisted external drainage of subretinal fluid. Retin Cases Brief Rep. 2015;9(3):223-225.
14. Kreissig I, Rose D, Jost B. Minimized surgery for retinal detachments with segmental buckling and nondrainage. An 11-year follow-up. Retina Phila Pa. 1992;12(3):224-231.
15. Iwase T, Kobayashi M, Yamamoto K, Yanagida K, Ra E, Terasaki H. Change in choroidal blood flow and choroidal morphology due to segmental scleral buckling in eyes with rhegmatogenous retinal detachment. Sci Rep. 2017 Jul 20;7(1):5997.
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