Demarcation laser therapy in the management of macular-sparing persistent subretinal fluid after scleral buckling procedures

2005 ◽  
Vol 244 (8) ◽  
pp. 1039-1042 ◽  
Author(s):  
Yew Meng Wong ◽  
Noemi Lois
Keyword(s):  
Laser Therapy ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Macular Sparing

Standardized scleral buckling approach in the management of noncomplex primary rhegmatogenous retinal detachment

2020 ◽  
pp. 112067212094020
Author(s):  
Paolo Radice ◽  
Elisa Carini ◽  
Patrizio Seidenari ◽  
Andrea Govetto
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Vision Loss ◽  
Case Series ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Full Thickness Macular Hole ◽  
Air Tamponade ◽  
Subretinal Fluid Drainage ◽  
Anatomical Success

Purpose: To analyze the anatomical and functional outcomes of a standardized scleral buckling approach in patients with noncomplex primary rhegmatogenous retinal detachment (RRD). Methods: Retrospective institutional case series of 135 eyes of 131 patients diagnosed with noncomplex primary RRD. All patients underwent scleral buckling surgery with the placement of an encircling 5 mm oval sponge at 15 ± 2 mm posteriorly from the limbus, cryopexy, subretinal fluid drainage, and air tamponade. Results: Final anatomical success at 12 months was achieved in all 135 eyes (100%). Primary anatomical surgical success was obtained in 127 out of 135 eyes (94%), while re-detachment occurred in eight out of 135 cases (6%). Primary anatomical success was significantly lower in pseudophakic eyes ( p < 0.001). At the end of the follow-up period, no vision loss was observed in any patient and both sphere and cylinder refraction shift was mild. There was a low rate of postoperative complications. Nine out of 135 eyes (6.6%) developed full thickness macular hole, whether in 24 out of 135 eyes (17.8%) epiretinal membrane development was noticed. Conclusion: A standardized scleral buckling approach for primary noncomplex RRD may be effective. The technique is reproducible, easier, and quicker to perform if compared to classic scleral buckling procedures, suggesting that it may represent a valuable surgical option. Special care is needed in the management of pseudophakic RRD due to higher risk of RRD recurrence.

Persistent Subretinal Fluid Mimicking Central Serous Retinopathy after Scleral Buckling Surgery: Possible Vortex Vein Compression Role

2017 ◽  
Vol 27 (2) ◽  
pp. e54-e56 ◽  
Author(s):  
Chiara Giuffrè ◽  
Adriano Carnevali ◽  
Marco Codenotti ◽  
Eleonora Corbelli ◽  
Luigi A. De Vitis ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Indocyanine Green Angiography ◽  
Serous Retinal Detachment ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Central Serous Retinopathy ◽  
Retinal Detachment Surgery ◽  
Encircling Band ◽  
Vortex Vein ◽  
Sd Oct

Purpose To describe the case of a woman who developed persistent subretinal fluid in the macular region after the placement of encircling band for retinal detachment surgery, possibly due to vortex vein compression. Methods Case report. Results A 66-year-old woman diagnosed with central serous retinopathy presented with poor vision and metamorphopsia in the left eye (LE). Her visual acuity had deteriorated to 20/100 in LE after retinal detachment surgery with scleral buckling 8 months before. Multimodal imaging including fundus autofluorescence and fluorescein angiography disclosed a gravitational hyperfluorescent area involving the macular region that appeared to originate from the superotemporal quadrant in correspondence with the buckling. This area corresponded to a serous retinal detachment on structural spectral-domain optical coherence tomography (SD-OCT). Interestingly, on indocyanine green angiography, the encircling band of the scleral buckling appeared located at the emergence of the superotemporal vortex vein. Based on these findings, the patient was diagnosed with gravitational serous retinal detachment secondary to vortex vein compression. Successful rapid visual recovery and decrease of retinal fluid on SD-OCT was achieved with prompt surgery of scleral buckling removal, confirming the diagnosis. Conclusions Choroidal veins can be obliterated during retinal detachment surgery, especially when retinal breaks are posterior to the equator. Indocyanine green angiography is the gold standard to study choroidal circulation and in our case allowed us to visualize the compression of the superotemporal vortex vein at the site of scleral buckling.

Subretinal Fluid Bleb After Successful Scleral Buckling and Cryotherapy for Retinal Detachment

2008 ◽  
Vol 146 (2) ◽  
pp. 205-210.e1 ◽  
Author(s):  
Se Woong Kang ◽  
Jae Hui Kim ◽  
Woo Jae Shin ◽  
Jong In Kim
Keyword(s):  
Retinal Detachment ◽  
Subretinal Fluid ◽  
Scleral Buckling

scholarly journals Presumed Sympathetic Ophthalmia after Scleral Buckling Surgery: Case Report

2020 ◽  
Author(s):  
Seyedeh Maryam Hosseini ◽  
Nasser Shoeibi ◽  
Mahdieh Azimi Zadeh ◽  
Mahdi Ghasemi ◽  
Mojtaba Abrishami
Keyword(s):  
Female Patient ◽  
Visual Loss ◽  
Pigment Epithelium ◽  
Retinal Pigment ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Sympathetic Ophthalmia ◽  
Low Risk ◽  
Systemic Involvement ◽  
Break Site

Abstract Background: Scleral buckling (SB) is usually considered an extraocular operation, and it is presumed to have low risk of sympathetic ophthalmia (SO). We aimed to report a rare case of presumed SO in a young female patient following SB. Case Presentation: A nineteen year-old female patient was referred for visual loss in her left eye because of macula off inferior longstanding rhegmatogenous retinal detachment (RD). Best corrected visual acuity (BCVA) was 20/400 in the left eye. SB with 360 degrees encircling band and inferior segmental tire, with one spot cryoretinopexy at the break site and subretinal fluid drainage was performed. One week after operation, BCVA was improved to 20/80 and retina was totally attached. Six weeks later, patient came with severe visual loss in both eyes as counting finger 1 meter. Bilateral multifocal serous RD and vitreous cells was found. The patient was diagnosed as sympathetic Ophthalmia, and treated with intravenous corticosteroid pulse therapy and mycophenolate mofetil. The inflammation was controlled and serous RD resolved after five days intravenous treatment and was not relapsed after six months. BCVA became 20/20 in right eye and 20/50 in the left eye after six months. Systemic workup was negative for any extraocular disease or systemic involvement. Conclusion: As SB usually considered as a procedure without manipulating intraocular tissues, it is considered to have low risk for SO. In this report, we presented SO occurance after successful SB. Inciting the choroid and retinal pigment epithelium with cryoretinopexy or perforating for drainage may induce SO.

Conventional Detachment Surgery in Rhegmatogenous Retinal Detachment; Indications and Techniques

2019 ◽  
pp. 187-196
Keyword(s):  
Retinal Detachment ◽  
Complication Rate ◽  
Rhegmatogenous Retinal Detachment ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Conventional Surgery ◽  
Surgical Method ◽  
Retinal Detachment Surgery ◽  
Lower Complication ◽  
Lower Complication Rate

Conventional surgery with a lower complication rate is recommended in cases of rhegmatogenous retinal detachment. Conventional retinal detachment surgery is still an appropriate technique for the treatment of most of the cases with rhegmatogenous retinal detachment even today. The main steps of the conventional retinal detachment surgeries are cryopexy, scleral buckling, encircling, and removal of subretinal fluid. Successful results have been reported in this surgical method in uncomplicated cases. This review mentions about the conventional detachment surgery in the main aspects.

scholarly journals Endoillumination aided scleral buckling combined with intravitreal injection of hyaluronate for treatment of rhegmatogenous retinal detachment

2019 ◽  
Author(s):  
Tong Zhao ◽  
Zhijun Wang
Keyword(s):  
Intraocular Pressure ◽  
Retinal Detachment ◽  
Intravitreal Injection ◽  
Rhegmatogenous Retinal Detachment ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Wide Angle ◽  
Corrected Visual Acuity ◽  
Significant Difference ◽  
Subretinal Fluid Drainage

Abstract Background: To evaluate the efficiency and safety of 25-gauge illumination aided scleral buckling surgery combined with intravitreal injection of hyaluronate for treatment of rhegmatogenous retinal detachment Methods: This study was undertaken in a prospective, nonrandomized, and uncontrolled manner. Patients of rhegmatogenous retinal detachment were performed scleral buckling surgery with the aid of intraocular illumination and noncontact wide-angle viewing system. Hyaluronate was injected into the vitreous cavity to maintain intraocular pressure stable after subretinal fluid drainage through the external sclerotomy when necessary. Best corrected visual acuity(BCVA), intraocular pressure, fundus examination and complications were observed and recorded. Results: Twenty-eight consecutive patients (28 eyes) were enrolled. Subretinal fluid drainage and hyaluronate injection was performed in 12 eyes. The final reattachment ratio was 100%. BCVA increased after operation (P<0.001) and no significant difference was observed between preoperative and postoperative intraocular pressure (P=0.149). No iatrogenic retinal break, choroidal hemorrhage or endophthalmitis were observed. Conclusions: Endoillumination aided buckling surgery combined with intravitreal injection of hyaluronate could be an option for treatment of rhegmatogenous retinal detachment especially for the cases of highly elevated retina. Trial registration: ChiCTR1800020055. Retrospectively registered on December 12, 2018. Key words: Rhegmatogenous retinal detachment, scleral buckling, noncontact wide-angle viewing system, endoillumination, intravitreal injection of hyaluronate.

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