BACKGROUND AND OBJECTIVE: Scleral buckling is widely used for the treatment of rhegmatogenous retinal detachment. The use of the Optic Fibre Free Intravitreal Surgical System (OFFISS) (Topcon Inc., Paramus, NJ) in scleral buckling performed as a complete microsurgical procedure is described. PATIENTS AND METHODS: Seven eyes of seven consecutive patients with rhegmatogenous retinal detachment underwent scleral buckling. The OFFISS was used as the illumination and visualization system during all surgical steps. RESULTS: Anatomic success occurred in 6 of 7 eyes (85.7%). After a second intervention, the retina was reattached in all cases. Functional success, described as improvement or stabilization of visual acuity, was observed in 6 of 7 eyes (85.7%). CONCLUSION: The OFFISS is a useful tool for observation of the posterior segment of the eye during surgery for retinal detachment. All surgical steps are performed under high magnification and surgery can be more precise. Intraoperative complications are minimized.
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