COMBINING EXTERNAL NEEDLE DRAINAGE AND SCLERAL BUCKLING WITH VITRECTOMY FOR THE REPAIR OF BULLOUS RETINAL DETACHMENTS. (September 2018)

• Record Type: Journal Article
• Authors: Chen, Judy J.; Kalevar, Ananda; Jumper, James Michael
• Is Part Of: Retina. Volume 38(2018)Supplement 1
• Publication Date: 2018-09
• Subjects: bullous retinoschisis -- retinoschisis-related detachment -- exudative retinal detachment -- external drainage -- chandelier light; Retina -- Diseases -- Periodicals; Retinal Diseases; Vitreous Body; 617.735
• DOI: 10.1097/IAE.0000000000001948
• Languages: English
• ISSNs: 0275-004X

Abstract

Abstract : Purpose: To describe a technique of combined scleral buckle with external needle drainage and vitrectomy in the treatment of bullous exudative retinal detachment, schisis detachment, or bullous retinoschisis threatening the fovea. Methods: A retrospective chart review of four eyes of four patients who underwent the procedure described. Results: Four eyes of four patients who underwent combined scleral buckling with external needle drainage and vitrectomy by a single surgeon for a bullous exudative retinal detachment, schisis detachment, or bullous retinoschisis threatening the fovea were included in this series. All four patients were attached after a single surgical intervention. No patient developed complications from the external drainage. Conclusion: External needle drainage of bullous subretinal or intraschisis fluid in combination with vitrectomy is a successful technique for treating bullous exudative retinal detachments, schisis detachment, or foveal-threatening retinoschisis. The technique avoids many complications associated with conventional drainage procedures. Long-term results seem promising because of extended follow-up demonstrating sustained anatomical success with a single intervention. Abstract : The authors describe a series of four patients who underwent a novel technique of external needle drainage during vitrectomy in the treatment of exudative retinal detachment, schisis-related detachment, or bullous retinoschisis.