Suprachoroidal Buckling

Rayes, Ehab N. El

doi:10.1159/000360459

Cited by 10 publications

(5 citation statements)

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“…They created a sclerotomy anterior to the retinal tears, through which the SCS would be entered with a cyclodialysis spatula and hyaluronic acid injected into the SCS. In 2013, El Rayes and Elborgy described a modified technique in which they created a pocket in the SCS through which a light-guided catheter would be advanced to localize the region of the break. The concept of a temporary buckle was advanced by Kreissig et al in 1989 using the Lincoff parabulbar balloon.…”

Section: Discussionmentioning

confidence: 99%

In-Office Suprachoroidal Viscopexy for Rhegmatogenous Retinal Detachment Repair

Muni,

Melo,

Pecaku

et al. 2023

JAMA Ophthalmol

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ImportanceIn-office suprachoroidal viscopexy (SCVEXY) is a minimally invasive technique for rhegmatogenous retinal detachment (RRD) repair that can be performed with no incision, no tamponade agent, and no positioning requirements. This technique has the potential to be a step forward in the armamentarium to treat RRDs.ObjectiveTo describe in-office SCVEXY for RRD repair.Design, Setting, and ParticipantIn this single-case report with short follow-up, a man in his 50s with pseudophakia and recent visual loss presented to St Michael’s Hospital, Unity Health Toronto, with a fovea-off RRD in the right eye, extending from 6 to 10 o’clock, with no visible causative retinal break.ExposureInjection of suprachoroidal sodium hyaluronate, 1%, in the region of the suspected break, using a 30-gauge needle with a custom-made guard that exposed only 1 mm of the needle.Main Outcome and MeasuresAbility to perform in-office SCVEXY and to obtain a visible choroidal indentation.ResultsAfter the procedure, a dome-shaped choroidal convexity was present in the superior temporal area. The patient achieved macular reattachment in less than 24 hours with no postoperative abnormalities, such as outer retinal folds, residual subfoveal fluid, or retinal displacement, with rapid recovery of the outer retinal bands on optical coherence tomography. The optical coherence tomography scans acquired in the area of the choroidal convexity demonstrated the location of the viscoelastic material in the suprachoroidal space. Laser retinopexy was applied in the suspected region of the retinal tear, and the patient was able to resume normal activity immediately after the procedure with no restrictions.Conclusions and RelevanceSuprachoroidal viscopexy is feasible as an in-office technique to create a temporary choroidal buckle for RRD repair. It is a minimally invasive procedure with the potential to maximize anatomical outcomes of integrity and postoperative functional outcomes in RRD because its mechanism of action does not require drainage of subretinal fluid or intraocular gas tamponade. Nevertheless, this was a single-case report with short follow-up, which limits the ability to determine the procedure’s benefits, potential adverse events, failure rates, and best-case selection. Further work is required to refine the procedure and assess its efficacy and safety.

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Section: Discussionmentioning

confidence: 99%

In-Office Suprachoroidal Viscopexy for Rhegmatogenous Retinal Detachment Repair

Muni,

Melo,

Pecaku

et al. 2023

JAMA Ophthalmol

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“…Eight review articles have been written, the first in 2007 [33] , then in 2010 [36] , 2012 [38][39][40] and from 2016 to 2020 [44][45][46][47] , and two comparative studies were published in 2006 [13,22] . Twenty-nine papers are case-series [11,18,[27][28][29][48][49][50][51][52] , thirteen are case-reports [20,30,31,37,39,[53][54][55][56][57] whilst the remainder [26,34,35,40,[58][59][60][61][62][63][64][65][66] are related to general content [ Figure 1].…”

Section: Study Typementioning

confidence: 99%

Hyaluronic acid for lower eyelid and tear trough rejuvenation: review of the literature

Diaspro¹,

Sito²

2020

Plast Aesthet Res

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“…This technique can be performed without or in combination with vitrectomy, and has been successfully used for the treatment of patients with retinal detachment and myopic tractional maculopathies. 61 – 63 Although pars plana vitrectomy and scleral buckles are effective surgical techniques, they may still cause complications such as pain, diplopia, refractive error shifts, cataract progression, glaucoma, vitreous hemorrhage, and endophthalmitis. 64 Suprachoroidal buckling can be an elegant and relatively noninvasive technique that may become a useful adjunct to vitreoretinal surgery, although the technical difficulty may limit its widespread use for now.…”

Section: Retinal Surgery In the Scsmentioning

confidence: 99%

The suprachoroidal space: from potential space to a space with potential

Moisseiev¹,

Loewenstein²,

Yiu³

2016

OPTH

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Recent advances have made it possible to image the suprachoroidal space, and the understanding of its clinical applications is currently being greatly expanded. This opinion piece covers the advances in imaging techniques that enable the demonstration of the suprachoroidal space, and its implication in various retinal pathologies. It also reviews its potential uses as a route for drug delivery for the treatment of retinal diseases, and its use in innovative surgical techniques. Current research is leading the way for the suprachoroidal space to be an aspect of retinal disease diagnosis, monitoring, medical treatment, and surgical manipulation.

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Suprachoroidal Buckling

Cited by 10 publications

References 0 publications

In-Office Suprachoroidal Viscopexy for Rhegmatogenous Retinal Detachment Repair

In-Office Suprachoroidal Viscopexy for Rhegmatogenous Retinal Detachment Repair

Hyaluronic acid for lower eyelid and tear trough rejuvenation: review of the literature

The suprachoroidal space: from potential space to a space with potential

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