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VIDEO: Easier, faster approach to scleral buckling without indirect ophthalmoscope
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This video shows a new approach to scleral buckling for retinal detachment surgery, “easier and faster to learn and to perform also by young vitreoretinal surgeons with little or no experience in indirect ophthalmoscopy,” according to Omar Trabelsi, MD.
No indirect ophthalmoscope or a three-mirror lens and slit lamp are used. The whole procedure is performed under a microscope with a wide-angle viewing lens (BIOM, Oculus), using a vitrectomy endolight inserted through a 25-gauge trocar.
“The view of the peripheral fundus is much better with this technique so we cannot miss any break that we need to treat with cryo and indentation,” Trabelsi said. “The maneuver and the viewing are also possible with poor dilatation or the presence of cataract.”
Trabelsi has used this technique on 24 cases of rhegmatogenous retinal detachment. Successful outcomes, with complete reapplication of the retina, were obtained in 23 cases. One eye was reoperated by vitrectomy because of vitreous hemorrhage due to the subretinal fluid drainage procedure.
In this video, Trabelsi explains the technique step by step, while using it in two cases. – by Michela Cimberle
For more information:
Omar Trabelsi, MD, can be reached at Clinique Ophtalmologique De Tunis, Route X2, Cité El Khadra, 1003 Tunis, Tunisia; email: omartrabelsi.y@gmail.com.
Disclosure: Trabelsi reports no relevant financial disclosures.