الفهرس 
Chandelier-assisted versus standard scleral buckling for primary rhegmatogenous retinal detachment
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Abstract
Purpose: To compare the anatomical outcomes, functional outcomes and rate of complications of two scleral buckling surgical techniques in phakic eyes with rhegmatogenous retinal detachment: standard versus chandelier-assisted scleral buckling. Design: Prospective, single-center, comparative, randomized, interventional study. Methods: A total of 50 eyes of 49 patients were included. All had phakic primary rhegmatogenous retinal detachment with pre-equatorial retinal breaks (< 90 degrees) and/or retinal dialysis. Patients were randomly assigned to either standard group where eyes underwent scleral buckling surgery using the indirect ophthalmoscope or chandelier-assisted group where eyes underwent scleral buckling surgery using the non-contact wide-field Resight system along with a chandelier light source. In both groups, retinopexy was performed using laser photocoagulation treatment; intra-operative transscleral diode laser (diopexy).The surgical operating time was recorded in each case of either surgical group. Results: Analysis of our data showed similar anatomical outcomes, functional outcomes and surgical time with no significant differences between both techniques. However, the chandelier-assisted technique showed a statistically significant increase (P < 0.05) in the rate of epi-macular membrane formation and macular pucker development post scleral buckling surgery. Conclusion: Our study does not recommend chandelier-assisted scleral buckling technique in the management of phakic rhegmatogenous retinal detachment. Future studies should evaluate the effectiveness and the safety of this technique in pseudophakic rhegmatogenous retinal detachment