Scleral buckling under a slit-lamp illumination system in patients with primary rhegmatogenous retinal detachment
- 1Ophthalmology Department, Université Paris Cité, AP-HP, Hôpital Lariboisière, 2 Rue Ambroise Paré, Paris, 75010 France
- 2Ophthalmology Department, Hôpital Fondation Adolphe de Rothschild, 29 Rue Manin, Paris, 75019 France
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.
Methods: 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.
Results: 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.
Conclusion: 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.
Clinical trial number : Not applicable.
Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s40942-026-00913-3.
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BibTeX
@article{chatzistergiou2026scleral,
title = {{Scleral buckling under a slit-lamp illumination system in patients with primary rhegmatogenous retinal detachment}},
author = {Vasileia Chatzistergiou and Boris Marguier and Pierre Negrier and Aude Couturier and Elise Philippakis},
journal = {International Journal of Retina and Vitreous},
year = {2026},
month = aug,
doi = {10.1186/s40942-026-00913-3},
url = {https://doi.org/10.1186/s40942-026-00913-3},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Scleral buckling under a slit-lamp illumination system in patients with primary rhegmatogenous retinal detachment
AU - Vasileia Chatzistergiou
AU - Boris Marguier
AU - Pierre Negrier
AU - Aude Couturier
AU - Elise Philippakis
PY - 2026
DA - 2026/08/06
JO - International Journal of Retina and Vitreous
DO - 10.1186/s40942-026-00913-3
UR - https://doi.org/10.1186/s40942-026-00913-3
AB - 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. Methods: 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. Results: 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. Conclusion: 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. Clinical trial number : Not applicable. Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s40942-026-00913-3.
SN - 2056-9920
ER -