ArticleInternational ophthalmology2025
Three-dimensional heads-up pneumatic retinopexy with chandelier illumination for rhegmatogenous retinal detachment in eyes with mild media opacity: a prospective case series.
Article in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Macula-vitreous interface vitrectomy for pediatric epiretinal membrane: surgical principles, clinical outcomes and safety profile.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Impact of digital enhancement on contrast ratio in internal limiting membrane peeling using the NGENUITY 3D visualisation system.BMC ophthalmology · 2026Article
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5 authors.
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Abstract
purposeTo investigate a new technique for Pneumatic Retinopexy (PnR) using a 25G chandelier, cryotherapy, SF6 gas injection, and a heads-up 3D visualization system for rhegmatogenous retinal detachment (RRD).
methodsThis prospective consecutive case series included 20 eyes from 20 patients with RRD including 11 macula-on and 9 macula-off cases. The surgical technique combined endoillumination via a 25-gauge chandelier with three-dimensional heads-up visualization, cryotherapy, and pure SF
resultsThe mean operative time was 10.3 ± 2.4 min. Primary anatomical success defined as single-procedure retinal reattachment without additional surgery was achieved in 80% of eyes (16/20) at 12 months. Median time to recurrence was 14 days. Of the four eyes with recurrence, two underwent a second gas injection with cryotherapy, and two required pars plana vitrectomy with silicone oil tamponade for new inferior breaks associated with proliferative vitreoretinopathy. Best-corrected visual acuity (BCVA) improved significantly from 0.54 ± 0.34 to 0.32 ± 0.23 LogMAR at 12 months postoperatively (p < 0.05).
conclusion3D heads-up PnR with chandelier illumination is a feasible technique that offers subjectively enhanced intraoperative visualization compared with indirect ophthalmoscopy, particularly in eyes with mild media opacity. Future studies should investigate differences in clinical outcomes and cost-effectiveness.
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