Suprachoroidal Buckling for the Management of Rhegmatogenous Retinal Detachments Secondary to Peripheral Retinal Breaks

Rayes, Ehab N. El; Mikhail, Mikel; Cheweiky, Hala El; Elsawah, Kareem; Maia, Andre

doi:10.1097/iae.0000000000001214

Cited by 12 publications

(16 citation statements)

References 32 publications

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“…They occurred intraoperatively at the sclerotomy site and resolved without intervention. There were no visual consequences, and anatomical reattachment was obtained in both cases [10].…”

Section: Discussionmentioning

confidence: 80%

“…The decision to perform SCB as an isolated or combined procedure was at the discretion of the operating surgeon. Based on the reported safety and efficacy of SCB in the literature [10], SCB was proposed to patients with non-complicated retinal detachments that were, most of the time, associated to inferior retinal breaks.…”

Section: Methodsmentioning

confidence: 99%

“…sodium hyaluronate) in the suprachoroidal space, thereby temporarily indenting the choroid at the desired location where peripheral breaks are present to allow chorioretinal apposition and retinal reattachment [8,9]. Several studies have demonstrated the safety and effectiveness of this technique with single surgery reattachment rates around 90% [10,11].…”

Section: Introductionmentioning

confidence: 99%

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Hemorrhagic complications associated with suprachoroidal buckling

et al. 2020

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Background: Multiple surgical techniques exist for the repair of rhegmatogenous retinal detachments (RRD). Suprachoroidal buckling (SCB), consisting of injecting viscoelastic material in the suprachoroidal space to allow chorioretinal apposition, has been recently described in the repair of RRD. The aim of this study is to report the complications of SCB and to propose measures to decrease their incidence during the learning curve. Methods:A total of 26 eyes of 26 patients who underwent a SCB procedure for the management of RRD secondary to a single or multiple retinal breaks were enrolled. Patients were operated between January 2014 and March 2017 at two academic institutions. Patient and retinal detachment characteristics were obtained from the charts. Surgical videos were reviewed for every case and intraoperative complications were recorded. Complications observed postoperatively were obtained from the charts.Results: Sixteen eyes (62%) underwent SCB alone, 5 eyes (19%) underwent additional gas tamponade and 5 eyes (19%) had combined pars plana vitrectomy. The most common complication was hemorrhage (6 cases, 23%). There were no cases of ischemic choroidal changes or hyperpigmentation at the edge of the dome. All six complications occurred in phakic patients who had inferior RRD with retinal breaks in the inferior quadrants. Isolated subretinal hemorrhage occurred in 4 patients and isolated suprachoroidal hemorrhage in 1 patient, and those did not affect final visual outcome. Extensive combined subretinal and suprachoroidal hemorrhage occurred in one case, and was complicated by phthisis bulbi. Re-detachment occurred in 4/6 (67%) of patients, and 5/6 (83%) of patients required a secondary procedure. Three out of 6 patients (50%) had at least 2 lines of visual acuity improvement.Conclusion: SCB performed for RRD can be associated with hemorrhagic complications. The hemorrhages are usually self-limited but may occasionally result in severe visual compromise when involving the suprachoroidal space. Specific surgical measures need to be undertaken in order to decrease the likelihood of complications and further studies are needed to assess the safety and efficacy of this technique.

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“…They occurred intraoperatively at the sclerotomy site and resolved without intervention. There were no visual consequences, and anatomical reattachment was obtained in both cases [10].…”

Section: Discussionmentioning

confidence: 80%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hemorrhagic complications associated with suprachoroidal buckling

et al. 2020

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“…In this technique, an illuminated catheter is inserted into the suprachoroidal space and navigated to any desired location where peripheral breaks are present, where a long-lasting hyaluronic acid filler can be injected to create internal choroidal indentation. This can be performed without or in combination with vitrectomy and has been used successfully for the treatment of patients with retinal detachment [20, 21]. …”

Section: Recent Innovationsmentioning

confidence: 99%

A Review of Innovations in Rhegmatogenous Retinal Detachment Surgical Techniques

Nemet

Moshiri

Yiu

et al. 2017

Journal of Ophthalmology

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“…Erstmals wurde die Erzeugung eines kurzzeitigen Buckeleffekts durch Einspritzung eines Viskoelastikums in den Suprachoroidalraum durch Mittl und Poole mit den damalig verfügbaren, nicht quervernetzten Hydrogelen evaluiert [7,8]. Trotz der frühen Machbarkeitsstudien konnte sich das Prinzip wegen der zu raschen Resorption der Hydrogele nicht durchsetzen [9][10][11]. Ein weiterer Grund dafür, dass diese Technik nicht verfolgt wurde, lag auch darin, dass die klassische Buckelchirurgie breit etabliert war und die technische Entwicklung der Vitrektomie noch in den Anfängen steckte.…”

Section: Die Rationale Der Suprachoroidalen Hydrogelplombeunclassified

Suprachoroidale Hydrogelplombe – eine neue minimalinvasive Technik zur Behandlung der rhegmatogenen Netzhautablösung

Boden

Januschowski

Szurman

2017

Klin Monatsbl Augenheilkd

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The suprachoroidal hydrogel buckle is a new, simple and safe procedure for the treatment of rhegmatogenous retinal detachment. This technique combines the advantages of modern vitrectomy and classic buckling surgery. Placing the suprachoroidal buckle is possible as a stand-alone procedure or in addition to vitrectomy. The cross-linked hyaluronic acid seems to be the ideal agent for the suprachoroidal buckle with a buckling effect over 8 weeks. We need further investigations with long-term results.

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Suprachoroidal Buckling for the Management of Rhegmatogenous Retinal Detachments Secondary to Peripheral Retinal Breaks

Abstract: Suprachoroidal buckling using a specially designed cannula is a safe and effective procedure for the management of rhegmatogenous retinal detachment secondary to peripheral retinal breaks.

Cited by 12 publications

References 32 publications

Hemorrhagic complications associated with suprachoroidal buckling

Hemorrhagic complications associated with suprachoroidal buckling

A Review of Innovations in Rhegmatogenous Retinal Detachment Surgical Techniques

Suprachoroidale Hydrogelplombe – eine neue minimalinvasive Technik zur Behandlung der rhegmatogenen Netzhautablösung

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