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.

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 Persumed sympathetic Ophthalmia after scleral buckling surgery: case report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Seyedeh Maryam Hosseini ◽  
Nasser Shoeibi ◽  
Mahdieh Azimi Zadeh ◽  
Mahdi Ghasemi ◽  
Mojtaba Abrishami
Keyword(s):  
Retinal Detachment ◽  
Female Patient ◽  
Visual Loss ◽  
Retinal Pigment ◽  
Serous Retinal Detachment ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Sympathetic Ophthalmia ◽  
Low Risk ◽  
Break Site

Abstract Background Scleral buckling (SB) is usually considered an extraocular operation premeditated to have a low risk of sympathetic ophthalmia (SO). Here we 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 due to macula off inferior long-standing rhegmatogenous retinal detachment (RRD). The best corrected visual acuity (BCVA) was 20/400 in the left eye. SB with 360 degrees encircling band, an inferior segmental tire with one spot cryoretinopexy at the break site, and subretinal fluid drainage was performed. BCVA was improved to 20/80 and the retina was totally attached 1 week after the operation. The patient referred to the hospital 6 weeks later with severe visual loss in both eyes as counting finger 1 m. Patient examination indicated bilateral multifocal serous retinal detachment (SRD) and vitreous cells. The patient, diagnosed with SO, received intravenous corticosteroid pulse therapy and mycophenolate mofetil for treatment. The inflammation was controlled and SRD resolved after a 5-day intravenous treatment without being relapsed after 6 months. Consequently, BCVA became 20/20 and 20/50 in the right and left eye, respectively, after 6 months. The findings of systemic workup were negative for any extraocular disease or systemic involvement. Conclusion Since SB is a procedure without manipulating intraocular tissues, it is considered to impose a low risk for SO. This report presented SO occurrence after successful SB. Some factors may induce SO, including inciting the choroid and retinal pigment epithelium with cryoretinopexy or perforating for drainage.

scholarly journals Epiretinal Membrane in Dome-Shaped Macula Complicated with Serous Retinal Detachment: Transient Efficacy of Surgery

2017 ◽  
Vol 8 (3) ◽  
pp. 515-520
Author(s):  
Guillaume Soudier ◽  
Alain Gaudric ◽  
Vincent Gualino ◽  
Mathieu Nardin ◽  
Claude Speeg-Schatz ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Fluorescein Angiography ◽  
Choroidal Neovascularization ◽  
Epiretinal Membrane ◽  
Serous Retinal Detachment ◽  
Vitreous Body ◽  
Subretinal Fluid ◽  
Macular Area ◽  
Fluid Accumulation ◽  
Sd Oct

Dome-shaped macula (DSM) is an entity recently described as a convex anterior protrusion of the macular area within a posterior myopic staphyloma. Specific complications were associated with DSM, like serous retinal detachment (SRD). We describe a woman presenting with a decreased vision at 20/50. SD-OCT scans were performed, showing a macular bulge. SRD was present and an epiretinal membrane could also be observed. Fluorescein angiography and indocyanin green angiography did not show any leakage nor choroidal neovascularization. Epiretinal membrane peeling was performed, and 3 months after surgery, SRD completely disappeared. However, SRD reappeared 1 year after surgery and enlarged within 2 years following surgery. In conclusion, two mechanisms could be considered for physiopathology of SRD: first, the epiretinal membrane may have exerted traction on the macular retina, second, vitreous body might constitute a tank for cytokines and/or other factors, triggering subretinal fluid accumulation, leading to SRD.

scholarly journals Persumed 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):  
Retinal Detachment ◽  
Female Patient ◽  
Visual Loss ◽  
Retinal Pigment ◽  
Serous Retinal Detachment ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Sympathetic Ophthalmia ◽  
Low Risk ◽  
Break Site

Abstract Background: Scleral buckling (SB) is usually considered an extraocular operation premeditated to have a low risk of sympathetic ophthalmia (SO). Here we 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 due to macula off inferior long-standing rhegmatogenous retinal detachment (RRD). The best corrected visual acuity (BCVA) was 20/400 in the left eye. SB with 360 degrees encircling band, an inferior segmental tire with one spot cryoretinopexy at the break site, and subretinal fluid drainage was performed. BCVA was improved to 20/80 and the retina was totally attached 1 week after the operation. The patient referred to the hospital 6 weeks later with severe visual loss in both eyes as counting finger 1 meter. Patient examination indicated bilateral multifocal serous retinal detachment (SRD) and vitreous cells. The patient, diagnosed with SO, received intravenous corticosteroid pulse therapy and mycophenolate mofetil for treatment. The inflammation was controlled and SRD resolved after a 5-day intravenous treatment without being relapsed after 6 months. Consequently, BCVA became 20/20 and 20/50 in the right and left eye, respectively, after 6 months. The findings of systemic workup were negative for any extraocular disease or systemic involvement.Conclusion: Since SB is a procedure without manipulating intraocular tissues, it is considered to impose a low risk for SO. This report presented SO occurrence after successful SB. Some factors may induce SO, including inciting the choroid and retinal pigment epithelium with cryoretinopexy or perforating for drainage.

scholarly journals Novel technique for removal of persistent subretinal fluid following nondrain retinal detachment surgery

2016 ◽  
Vol 6 (4) ◽  
pp. 199-200 ◽  
Author(s):  
Roger Wong ◽  
Giancarlo Dell'Aversana Orabona ◽  
Francesca Simonelli ◽  
Catherine Howard
Keyword(s):  
Retinal Detachment ◽  
Subretinal Fluid ◽  
Retinal Detachment Surgery ◽  
Novel Technique

Materials Used in Conventional Retinal Detachment Surgery and Properties

2019 ◽  
pp. 163-167
Keyword(s):  
Side Effects ◽  
Retinal Detachment ◽  
Gold Standard ◽  
Scleral Buckling ◽  
Retinal Detachment Surgery ◽  
Vitreoretinal Traction ◽  
Materials Used ◽  
Basic Features ◽  
Surgical Manipulation

The main fulcrum of the Conventional Retinal Detachment (RD) surgeon is to reattach the retina by reducing the vitreoretinal traction with the technique of externally collapsing the sclera. Conventional RD or scleral buckling surgery with a long history, there are two basic methods in which explants and implants are used. Nowadays, the more commonly used method is explanted. Basic features of explant material to be used in scleral buckling surgery; ease of surgical manipulation, effective collapse, and minimal tissue side effects. These explant materials can be used separately as permanent and absorbable (temporary) materials. Silicone biomaterial from these explants appears to be the most appropriate option and is considered the gold standard.

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