Twin-light-assisted scleral buckle for primary rhegmatogenous retinal detachment

Aims: Our aim is to evaluate the use of BIOM-3 (Oculus, Germany) and 27-gauge Eckardt twin-light chandelier endoillumination (DORC, Netherland) as an alternative to indirect ophthalmoscope. Settings and Design: A prospective, interventional case series study was conducted in T.E.H. (Private Practice), Assiut, Egypt. Subjects and Methods: Twenty patients (Twenty eyes) complaining of primary rhegmatogenous retinal detachment (RRD) with proliferative vitreoretinopathy ≤ Grade B from January 2013 to April 2014. All patients underwent 27-gauge twin-light chandelier endoillumination for retinal break localization. Break localization was followed by cryopexy (Cryomatic Cryo Console, Keeler Ltd., UK) and standard scleral buckling under surgical microscope. Anatomical and functional outcomes were evaluated at the end of 6 months. Results: Anatomical success (attachment of retina) was achieved in 18 (90%) of twenty eyes. All these eyes remained attached at the end of 6 months. Significant improvement in mean best-corrected visual acuity was achieved at the end of 6 months follow-up 0.05 ± 0.46 preoperatively compared with 0.5 ± 0.14 postoperatively (P = 0.023). Conclusion: Twin-light-assisted scleral buckling for primary RRD is a better alternative to classic surgery with indirect ophthalmoscope.