{
  "abstract": "Purpose: To present the slit-lamp illumination and visualisation system for scleral buckling for primary rhegmatogenous retinal detachment (RRD) and assess its feasibility and postoperative outcomes.\n\nMethods: In a retrospective, single-center, non-comparative case series, patients with subtotal RRD who underwent scleral buckling under a slit-lamp illumination system at Lariboisière Hospital, between May 2017 and May 2022, were included. Patients who underwent scleral buckling combined with vitrectomy, with a history of retinal surgery and with maculopathies interfering with visual acuity were excluded. The following preoperative data were collected: best-corrected visual acuity (BCVA), number and location of retinal breaks, extend of the detachment, presence of macular detachment. The fundus was visualised using a quadraspheric lens, and the slit-lamp system integrated in the surgical microscope. Anatomical success rate, BCVA improvement and complications were collected.\n\nResults: Forty-six eyes of 46 patients with a mean age of 43.2 ± 12.8 years, followed for 8.7 ± 8.3 months were included. No procedure was switched to vitrectomy during surgery. The single surgery success rate was 93.5% (43 eyes). Three eyes had to undergo vitrectomy due to vitreoretinal proliferation. BCVA improved from 0.63 ± 0.76 LogMAR (Snellen 20/80) before surgery to 0.33 ± 0.40 LogMAR (Snellen 20/40) after surgery (p=0.002). Intraoperative and postoperative complications were experienced by two and nine patients, respectively.\n\nConclusion: Scleral buckling using a surgical microscope with an integrated slit-lamp and a wide-angle contact lens is a feasible technique associated with satisfactory anatomical and functional outcomes. This approach was associated with a high single-surgery success rate and a manageable complication rate.\n\nClinical trial number : Not applicable.\n\nSupplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s40942-026-00913-3.",
  "abstract_shown": true,
  "affiliations": [
    "Ophthalmology Department, Université Paris Cité, AP-HP, Hôpital Lariboisière, 2 Rue Ambroise Paré, Paris, 75010 France",
    "Ophthalmology Department, Hôpital Fondation Adolphe de Rothschild, 29 Rue Manin, Paris, 75019 France"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Vasileia Chatzistergiou",
      "orcid": "0000-0003-3344-003X"
    },
    {
      "affs": [
        0
      ],
      "name": "Boris Marguier",
      "orcid": "0009-0002-9807-0578"
    },
    {
      "affs": [
        0
      ],
      "name": "Pierre Negrier",
      "orcid": "0000-0001-8384-3887"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Aude Couturier",
      "orcid": "0000-0001-8549-7455"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Elise Philippakis",
      "orcid": "0000-0002-0135-3313"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0q2p95d53t8rq.bib",
  "cited_by": 0,
  "doi": "10.1186/s40942-026-00913-3",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13737520/",
  "id": "0q2p95d53t8rq",
  "issns": [
    "2056-9920"
  ],
  "landing_url": "https://doi.org/10.1186/s40942-026-00913-3",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "openalex",
      "2731|Retinal and Macular Surgery"
    ]
  ],
  "openalex": "W7196944069",
  "pdf_url": null,
  "pmcid": "PMC13737520",
  "pmid": "42983780",
  "published": "2026-08-06",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/0q2p95d53t8rq.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:22:40Z",
      "native_id": "PMC13737520",
      "source": "pmc",
      "url": "https://doi.org/10.1186/s40942-026-00913-3"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2741|Retinal and Macular Surgery",
      "subfield": "imaging"
    }
  ],
  "title": "Scleral buckling under a slit-lamp illumination system in patients with primary rhegmatogenous retinal detachment",
  "title_text": "Scleral buckling under a slit-lamp illumination system in patients with primary rhegmatogenous retinal detachment",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:22:40Z",
  "url": "https://research.draconitic.com/paper/0q2p95d53t8rq",
  "venue": "International Journal of Retina and Vitreous",
  "versions": []
}