Modified External Needle Drainage of Subretinal Fluid in Primary Rhegmatogenous Retinal Detachment

Kim, Joon-Hyun; Bertram, Kurt; Quirk, Matthew; Arroyo, Jorge G.

doi:10.1097/iae.0b013e318068de5c

Cited by 11 publications

(11 citation statements)

References 26 publications

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“…Therefore, this procedure appears to be relatively safe for patients with mild-to-moderate glaucoma [19] . Although external SRF drainage was performed only in cases of bullous exudative RD in this study, external SRF drainage with a 24-G i.v.…”

Section: Discussionmentioning

confidence: 99%

“…Needle drainage seemed to have a higher success rate of 100% [18,19,26] . In cases of exudative RD, SRF drainage with a needle was proven to be safe and efficient [2] .…”

Section: Discussionmentioning

confidence: 99%

“…In the traditional drainage method with rigid needles, the procedure should be observed under an indirect ophthalmoscope. If the needle were to make contact with the retina, the surgeon would be able to withdraw it and reposition it as necessary to prevent iatrogenic damage [19] . With this method, careful observation and manipulations are needed as well.…”

Section: Discussionmentioning

confidence: 99%

“…In 2003, Jaffe et al [18] used a 26-or 27-G needle on a 3-mL syringe without the plunger, and the needle was directed at a 45° angle through the sclera and choroid into the subretinal space [18,19] . In 2015, Chhablani and Balakrishnan [2] used a 26-G needle attached to a cannula under Chandelier assistance to drain SRF.…”

mentioning

confidence: 99%

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A Modified Technique for the Transconjunctival and Sutureless External Drainage of Subretinal Fluid in Bullous Exudative Retinal Detachment Using a 24-G i.v. Catheter

et al. 2017

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Purpose: To present the use of a 24-G Optiva® i.v. catheter for external drainage of subretinal fluid (SRF) in bullous exudative retinal detachment (RD). Methods: Thirteen eyes with bullous exudative RD were included in our study. SRF drainage was accomplished via a transconjunctival scleral incision with a 24-G catheter followed by laser treatment, vitrectomy, or anti-VEGF treatment, as needed. Data on age, indications, visual acuities, the number of drainage times, drainage duration, complications, and fundoscopy were collected. Results: Two females and 11 males, with a mean age of 4.2 ± 2.7 years, were included. Surgical indications included exudative RD caused by Coats disease (12 eyes) and Sturge- Weber syndrome (1 eye). Successful drainage was achieved in all cases. The mean duration of the SRF drainage procedure was 63.5 ± 16.9 s. Except for 1 case of localized subretinal haemorrhage, no complications were noted. Conclusions: External drainage of SRF using a 24-G Optiva® i.v. catheter is safe, efficient, and useful.

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Section: Discussionmentioning

confidence: 99%

“…Needle drainage seemed to have a higher success rate of 100% [18,19,26] . In cases of exudative RD, SRF drainage with a needle was proven to be safe and efficient [2] .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

A Modified Technique for the Transconjunctival and Sutureless External Drainage of Subretinal Fluid in Bullous Exudative Retinal Detachment Using a 24-G i.v. Catheter

et al. 2017

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“…Theoretically, possible complications of trans-scleral injection include hypotony, choroidal hemorrhage, retinal hemorrhage, 7 and retinal and vitreous incarceration. Iatrogenic break creation is a possibility and would render the technique less effective if it occurs.…”

Section: Discussionmentioning

confidence: 99%

Trans-scleral dye injection during vitreous surgery to identify clinically undetectable retinal breaks causing retinal detachment

Gupta

Ong

Burton

2011

Eye

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Background/aims Finding all retinal breaks is a critical step in rhegmatogenous retinal detachment (RRD) surgery in order to prevent persistent/recurrent retinal detachment (RD). We describe a technique of trans-scleral dye injection into the subretinal fluid under the detached retina in the context of recurrent/ persistent RD in vitrectomized eyes, in order to determine the location of clinically unidentified (occult) retinal breaks causing RD. Methods Retrospective consecutive single-surgeon case-series analysis of patients presenting with a repeat RRD after having been treated with pars plana vitrectomy (PPV) as the method of primary RRD repair. Trans-scleral injection of subretinal vision blue (TSVB) was used to help identify retinal breaks during repeat vitrectomy. Outcome measures: successful detection of a break; location of breaks; persistent retinal attachment; final visual acuity (VA); complications. Results There were 395 cases of RRD during the 3-year period reviewed. TSVB was used for eight instances in seven eyes. All eight instances were repeat RRD. TSVB facilitated occult break detection in 7/8 instances of use. Breaks were at or adjacent to the previous cryo site in three instances. Persistent retinal attachment was achieved in 5/7 cases. Final VA increased in 5/7 cases. There was no evidence of complications as a result of TSVB injection. Conclusions TSVB coupled with indentation to vent a plume of dye through an occult break during vitreous surgery is a relatively simple technique that may facilitate the identification

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Modified External Needle Drainage of Subretinal Fluid in the Management of Rhegmatogenous Retinal Detachment Using a “Guarded Needle” Approach

Kitchens¹

2011

Arch Ophthalmol

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Modified External Needle Drainage of Subretinal Fluid in Primary Rhegmatogenous Retinal Detachment

Abstract: The modified external needle drainage technique used during scleral buckle placement appears to be safe and effective in patients with primary retinal detachment.

Cited by 11 publications

References 26 publications

A Modified Technique for the Transconjunctival and Sutureless External Drainage of Subretinal Fluid in Bullous Exudative Retinal Detachment Using a 24-G i.v. Catheter

A Modified Technique for the Transconjunctival and Sutureless External Drainage of Subretinal Fluid in Bullous Exudative Retinal Detachment Using a 24-G i.v. Catheter

Trans-scleral dye injection during vitreous surgery to identify clinically undetectable retinal breaks causing retinal detachment

Modified External Needle Drainage of Subretinal Fluid in the Management of Rhegmatogenous Retinal Detachment Using a “Guarded Needle” Approach

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