Non-contact wide-field viewing system-assisted scleral buckling surgery for retinal detachment in silicone oil-filled eyes
Authors:   Center for Rehabilitation Medicine, Department of Ophthalmology, Zhejiang Provincial People&#x2019;s Hospital, Affiliated People&#x2019;s Hospital, Hangzhou Medical College, Hangzhou 310000, Zhejiang Province, China, Wu Su-Lan , Shen Li-Jun ,   Center for Rehabilitation Medicine, Department of Ophthalmology, Zhejiang Provincial People&#x2019;s Hospital, Affiliated People&#x2019;s Hospital, Hangzhou Medical College, Hangzhou 310000, Zhejiang Province, China, Mao Jian-Bo ,   Center for Rehabilitation Medicine, Department of Ophthalmology, Zhejiang Provincial People&#x2019;s Hospital, Affiliated People&#x2019;s Hospital, Hangzhou Medical College, Hangzhou 310000, Zhejiang Province, China, Lin Li ,   The Affiliated Eye Hospital of Wenzhou Medical University in Hangzhou, Hangzhou 310000, Zhejiang Province, China, Tao Ji-Wei ,   The Affiliated Eye Hospital of Wenzhou Medical University in Hangzhou, Hangzhou 310000, Zhejiang Province, China, Chen Huan ,   Center for Rehabilitation Medicine, Department of Ophthalmology, Zhejiang Provincial People&#x2019;s Hospital, Affiliated People&#x2019;s Hospital, Hangzhou Medical College, Hangzhou 310000, Zhejiang Province, China, Zhang Shi-An ,   Center for Rehabilitation Medicine, Department of Ophthalmology, Zhejiang Provincial People&#x2019;s Hospital, Affiliated People&#x2019;s Hospital, Hangzhou Medical College, Hangzhou 310000, Zhejiang Province, China, Yu Jia-Feng ,   Center for Rehabilitation Medicine, Department of Ophthalmology, Zhejiang Provincial People&#x2019;s Hospital, Affiliated People&#x2019;s Hospital, Hangzhou Medical College, Hangzhou 310000, Zhejiang Province, China, Wang Chen-Xi ,   Center for Rehabilitation Medicine, Department of Ophthalmology, Zhejiang Provincial People&#x2019;s Hospital, Affiliated People&#x2019;s Hospital, Hangzhou Medical College, Hangzhou 310000, Zhejiang Province, China
Published: March 2024

AIM: To evaluate scleral buckling (SB) surgery using a non-contact wide-field viewing system and 23-gauge intraocular illumination for the treatment of rhegmatogenous retinal detachment in silicone oil (SO)-filled eyes.
METHODS: Totally 9 patients (9 eyes) with retinal detachment in SO-filled eyes were retrospectively analyzed. All patients underwent non-contact wide-field viewing system-assisted buckling surgery with 23-gauge intraocular illumination. SO was removed at an appropriate time based on recovery. The patients were followed up for at least 3mo after SO removal. Retinal reattachment, complications, visual acuity and intraocular pressure (IOP) before and after surgery were observed.
RESULTS: Patients were followed up for a mean of 8.22mo (3-22mo) after SO removal. All patients had retinal reattachment. At the final follow-up, visual acuity showed improvement for 8 patients, and no change for 1 patient. The IOP was high in 3 patients before surgery, but it stabilized after treatment; it was not affected in the other patients. None of the patients had infections, hemorrhage, anterior ischemia, or any other complication.
CONCLUSION: This new non-contact wide-field viewing system-assisted SB surgery with 23-gauge intraocular illumination is effective and safe for retinal detachment in SO-filled eyes.