ArticleClinical ophthalmology (Auckland, N.Z.)2022
A Comparative Study of Traditional Scleral Buckling to a New Technique: Guarded Light Pipe with Heads-Up Three-Dimensional Visualization.
Article in Clinical ophthalmology (Auckland, N.Z.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Robot-Assisted Peripheral Retinal Visualization during Vitrectomy without Scleral Depression: A First-In-Human Comparative Study.Ophthalmology science · 2026Article
- Retrospective study of the effectiveness of scleral buckling under direct vision with operating lamp illumination in 17 cases of retinal detachment associated with retinal dialysis.BMC ophthalmology · 2025Article
- Chandelier-Assisted Scleral Buckling: A Literature Review.Vision (Basel, Switzerland) · 2023Review
- Heads-Up Three-Dimensional Viewing Systems in Vitreoretinal Surgery: An Updated Perspective.Clinical ophthalmology (Auckland, N.Z.) · 2023Review
- A Case of Lens and Posterior Capsule Injury in Chandelier-Assisted Scleral Buckling for Rhegmatogenous Retinal Detachment.Case reports in ophthalmologyArticle
- Modified Endolaser Instrument for Chandelier Scleral Buckling.Journal of vitreoretinal diseasesArticle
- Heads-up 3-Dimensional Visualization to Enhance Video Endoscopy During Vitreoretinal Surgery.Journal of vitreoretinal diseasesArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: The guarded light pipe is a recently described alternative endoillumination technique to chandelier illumination. We sought to compare the outcomes of scleral buckling (SB) under indirect ophthalmoscopy (ID) to heads-up three-dimensional visualization with a guarded light pipe (3DGLP). Methods: A retrospective comparative study was performed, including 47 eyes that underwent SB for rhegmatogenous retinal detachment (RRD) repair with either traditional ID (n = 31) or 3DGLP (n = 16). Results: The single surgery anatomic success rate was 87.0% in the ID group and 87.5% in the 3DGLP group. The final anatomic success rate was 100% in both groups. The median (interquartile range) post-operative logMAR was 0.10 (0.0-0.20) in the ID group and 0.08 (0.02-0.69) in the 3DGLP group (p = 0.51). The median operative time was 107 (94-123) minutes in the ID group and 100 (90-111) minutes in the 3DGLP group (p = 0.25). Among eyes that underwent subretinal fluid drainage, the operative time was significantly longer in the ID group compared to the 3DGLP group, 113 (100-135) minutes vs 93 (85-111) minutes (p = 0.035). There were no post-operative complications in the ID group and one complication of self-resolving vitreous hemorrhage associated with a malfunctioning cryoprobe in the 3DGLP group (p = 0.34). There were no cases of post-operative cataract progression in either group. Conclusion: Compared to traditional SB, 3DGLP improves ergonomics and educational value with similar anatomical, visual, intra and post-operative outcomes and may result in shorter operative time in cases requiring subretinal fluid drainage.
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