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    Chandelier-assisted technique shines for improving scleral buckling

    Chandelier illumination for scleral buckling improves surgical control and precision during multiple steps of the retinal detachment repair procedure. That in turn translates into better outcomes for patients, according to John W. Kitchens, MD.

    “With its benefits, chandelier illumination can rejuvenate enthusiasm for scleral buckling among retina specialists who are veterans of the procedure,” said Dr. Kitchens, private practice, Retina Associates of Kentucky, and voluntary faculty, Department of Ophthalmology, University of Kentucky, both in Lexington. “Because it provides a vitrectomy-like view, it may enable surgeons who were trained primarily in vitrectomy to convert to scleral buckling.”

    Dr. Kitchens said he initially used chandelier illumination during scleral buckling in 2006 out of necessity because he wanted to record a teaching video of a novel external needle drainage technique.

    “I realized during that experience that chandelier illumination could be useful in a variety of ways during scleral buckling,” he added.



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