Aim: To study the outcomes of patients with rhegmatogenous retinal detachment treated with
endoilluminator assisted sclera buckle procedure in our hospital.
Methodology: This retrospective case series reviewed the records of 15 patients with rhegmatogenous
retinal detachment who underwent endoilluminator assisted sclera buckle surgery.
Results: The mean age of the patients was 22.0 (SD 11.14) years. Primary retinal reattachment was
achieved in 13 patients (86.7%) after one surgical procedure. One patient had perfluoropropane
(C3F8) gas injection to augment the buckle while the other one underwent pars-plana vitrectomy due
to proliferative vitreo-retinopathy (PVR). Final attachment was 100%. The mean best corrected visual
acuity improved from logMAR of 1.54 (SD 0.51) to 1.00 (SD 0.51) which was statistically significant
(P= 0.00), while the mean spherical equivalent changed from -0.95DS (SD 4.12) to -2.68DS (SD 4.15)
Which was also statistically significant (P=0.003).Two patients experienced elevated intraocular
pressure post operatively and were put on anti-glaucoma medication.
Conclusion: endoilluminator assisted sclera buckle surgery provides a promising modification to
address the shortcomings of the traditional scleral buckle technique and provided the attendant risks
are managed it could be acceptable to many retinal surgeons.