Influence of the scleral indentation technique on the re-detachment rate following retinal detachment surgery

Key messages What we already know: Scleral indentation is widely recognized as an important step in rhegmatogenous retinal detachment surgery via pars-plana vitrectomy. There are several surgical techniques for scleral indentation, however the procedures are neither standardized, nor have they ever...

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Main Authors: Philip Wakili, Karl T. Boden, Peter Szurman, Annekatrin Rickmann, Rosemarie Schlosser, Lukas Bisorca-Gassendorf, Kai Januschowski
Format: Article
Language:English
Published: BMC 2022-02-01
Series:International Journal of Retina and Vitreous
Subjects:
Online Access:https://doi.org/10.1186/s40942-022-00362-8
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author Philip Wakili
Karl T. Boden
Peter Szurman
Annekatrin Rickmann
Rosemarie Schlosser
Lukas Bisorca-Gassendorf
Kai Januschowski
author_facet Philip Wakili
Karl T. Boden
Peter Szurman
Annekatrin Rickmann
Rosemarie Schlosser
Lukas Bisorca-Gassendorf
Kai Januschowski
author_sort Philip Wakili
collection DOAJ
description Key messages What we already know: Scleral indentation is widely recognized as an important step in rhegmatogenous retinal detachment surgery via pars-plana vitrectomy. There are several surgical techniques for scleral indentation, however the procedures are neither standardized, nor have they ever been compared to one another to the best of our knowledge. What this study adds: This study shows that the rate of retinal re-detachment could be influenced by the indentation technique at the end of surgery favoring external indentation and internal visualization with an endoilluminator (chandelier light). We attribute this to the better visualization of the vitreous base facilitated by endoillumination.
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spelling doaj.art-7231560511a04860873170411b97fbf72022-12-21T17:25:09ZengBMCInternational Journal of Retina and Vitreous2056-99202022-02-01811610.1186/s40942-022-00362-8Influence of the scleral indentation technique on the re-detachment rate following retinal detachment surgeryPhilip Wakili0Karl T. Boden1Peter Szurman2Annekatrin Rickmann3Rosemarie Schlosser4Lukas Bisorca-Gassendorf5Kai Januschowski6Eye Clinic Sulzbach, Knappschaft Hospital SaarEye Clinic Sulzbach, Knappschaft Hospital SaarEye Clinic Sulzbach, Knappschaft Hospital SaarEye Clinic Sulzbach, Knappschaft Hospital SaarEye Clinic Sulzbach, Knappschaft Hospital SaarEye Clinic Sulzbach, Knappschaft Hospital SaarEye Clinic Sulzbach, Knappschaft Hospital SaarKey messages What we already know: Scleral indentation is widely recognized as an important step in rhegmatogenous retinal detachment surgery via pars-plana vitrectomy. There are several surgical techniques for scleral indentation, however the procedures are neither standardized, nor have they ever been compared to one another to the best of our knowledge. What this study adds: This study shows that the rate of retinal re-detachment could be influenced by the indentation technique at the end of surgery favoring external indentation and internal visualization with an endoilluminator (chandelier light). We attribute this to the better visualization of the vitreous base facilitated by endoillumination.https://doi.org/10.1186/s40942-022-00362-8Vitreoretinal surgeryScleral indentationRetinal detachmentPars plana vitrectomySurgical techniques
spellingShingle Philip Wakili
Karl T. Boden
Peter Szurman
Annekatrin Rickmann
Rosemarie Schlosser
Lukas Bisorca-Gassendorf
Kai Januschowski
Influence of the scleral indentation technique on the re-detachment rate following retinal detachment surgery
International Journal of Retina and Vitreous
Vitreoretinal surgery
Scleral indentation
Retinal detachment
Pars plana vitrectomy
Surgical techniques
title Influence of the scleral indentation technique on the re-detachment rate following retinal detachment surgery
title_full Influence of the scleral indentation technique on the re-detachment rate following retinal detachment surgery
title_fullStr Influence of the scleral indentation technique on the re-detachment rate following retinal detachment surgery
title_full_unstemmed Influence of the scleral indentation technique on the re-detachment rate following retinal detachment surgery
title_short Influence of the scleral indentation technique on the re-detachment rate following retinal detachment surgery
title_sort influence of the scleral indentation technique on the re detachment rate following retinal detachment surgery
topic Vitreoretinal surgery
Scleral indentation
Retinal detachment
Pars plana vitrectomy
Surgical techniques
url https://doi.org/10.1186/s40942-022-00362-8
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