Our Summary
This research paper looks at the results of a specific type of eye surgery called chandelier-assisted scleral buckling (CASB) used to treat a condition called rhegmatogenous retinal detachment (RRD), which is a serious eye condition where the retina detaches from the rest of the eye. The study compared two different methods of viewing the eye during the surgery - one using a contact lens and the other not using a contact lens.
The study looked back at the cases of 137 patients who had this surgery. 47 of them had the surgery with the non-contact lens method and 90 with the contact lens method. They found that the success rates of the surgery (measured by how well the retina reattached and also by the patients’ vision 6 months after the surgery) were similar for both methods. There was also no significant difference in the rate of complications after the surgery, such as cataracts, glaucoma, infection, or problems with the ‘buckle’ used in the surgery.
The conclusion of this study is that both methods of viewing the eye during this surgery have similar results and risks. Therefore, the surgeon can choose whichever method they prefer without affecting the outcome of the surgery.
FAQs
- What is chandelier-assisted scleral buckling surgery and what condition does it treat?
- Did the study find any significant difference in success rates between the contact lens method and the non-contact lens method in this surgery?
- What are the potential complications of chandelier-assisted scleral buckling surgery?
Doctor’s Tip
A helpful tip a doctor might give to a patient undergoing scleral buckle surgery is to follow all post-operative instructions carefully, including using any prescribed eye drops, avoiding strenuous activities, and attending follow-up appointments. It is important to take good care of the eye during the healing process to ensure the best possible outcome.
Suitable For
Patients who are typically recommended scleral buckle surgery are those who have rhegmatogenous retinal detachment (RRD), which is a serious eye condition where the retina detaches from the rest of the eye. Scleral buckle surgery is a common treatment for this condition and is often recommended for patients with RRD to help reattach the retina and prevent further vision loss. This surgery is usually recommended for patients who have a retinal tear or hole that is causing the detachment, as well as for those who have a history of retinal detachment or are at a high risk for developing it.
Overall, scleral buckle surgery is an effective treatment for patients with RRD and can help restore vision and prevent further complications. It is important for patients to discuss their specific situation with their eye care provider to determine if scleral buckle surgery is the right treatment option for them.
Timeline
Before scleral buckle surgery, a patient may experience symptoms of retinal detachment such as flashes of light, floaters in their vision, or a curtain-like shadow over their field of vision. They would then undergo a comprehensive eye examination to confirm the diagnosis of retinal detachment and determine if they are a candidate for scleral buckle surgery.
During the surgery, the patient would undergo anesthesia and the surgeon would make an incision to access the eye. The surgeon would then place a silicone band (scleral buckle) around the eye to support the detached retina and help reattach it to the back of the eye. In some cases, the surgeon may also drain fluid from under the retina or use a gas bubble to help reattach the retina.
After the surgery, the patient would be monitored closely for any complications or signs of infection. They may experience some discomfort or blurred vision in the days following the surgery, but this should improve over time. The patient would need to follow up with their eye doctor regularly to monitor their recovery and ensure that the retina remains attached. Vision may improve gradually over several weeks to months following the surgery.
What to Ask Your Doctor
Some questions a patient should ask their doctor about scleral buckle surgery include:
- What is the purpose of the surgery and how will it help with my condition?
- What are the potential risks and complications associated with scleral buckle surgery?
- How long is the recovery process and what can I expect during the recovery period?
- Will I need to follow any specific post-operative care instructions or take any medications?
- How successful is this surgery in treating rhegmatogenous retinal detachment?
- Are there any alternative treatments to consider?
- How experienced are you in performing scleral buckle surgery?
- Will I need any additional follow-up appointments or tests after the surgery?
- What are the chances of the retinal detachment reoccurring after the surgery?
- Are there any specific lifestyle changes or precautions I should take after the surgery?
Reference
Authors: Kelkar AS, Nagpal M, Mondal S, Mehrotra N, Jain H, Sharma A, Camus E, Sathaye V. Journal: Indian J Ophthalmol. 2024 Jul 1;72(7):1043-1048. doi: 10.4103/IJO.IJO_2820_23. Epub 2024 Mar 8. PMID: 38454850