Traditionally, when performing a scleral buckle, the retina is inspected, the retinal breaks are marked and cryotherapy is applied using an indirect ophthalmoscope. Downsides to this approach are that it can be ergonomically uncomfortable for the surgeon and visualization is limited to the surgeon with either attending or trainee unable to visualize in real time and provide feedback or as questions. Chandelier-assisted scleral buckling utilizes the same indirect viewing system as when a pars plana vitrectomy is performed and allows for better ergonomics, peripheral visualization and teaching opportunities. Here, guest surgeon Dr. Kirk Hou, presents a case of a chandelier-assisted scleral buckle. We discuss some of the surgical precautions that should be taken to minimize risks with this procedure.
