Catheter-guided suprachoroidal buckling of rhegmatogenous retinal detachments secondary to peripheral retinal breaks

Mikhail, Mikel; El-Rayes, Ehab N; Kojima, Kentaro; Ajlan, Radwan; Rezende, Flávio

doi:10.1007/s00417-016-3530-8

Cited by 8 publications

(11 citation statements)

References 26 publications

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“…Suprachoroidal buckling is a rarely used technique to repair rhegmatogenous retinal detachment, where injection of viscoelastic material into the suprachoroidal space is used to create a chorioretinal adhesion and closure of the retinal break. 82 , 83 A possible complication resulting from direct damage to the vortex vein during this procedure is suprachoroidal hemorrhage, which is thought to result from injury to this highly vascular region of the choroid. 84 Furthermore, a recent report has associated a vortex vein varix with recurrent suprachoroidal hemorrhage which occurred in close proximity to the varix.…”

Section: Clinical Significance Of Vortex Vein Imagingmentioning

confidence: 99%

Vortex Vein Imaging: What Can It Tell Us?

Verma¹,

Bacci²,

Sarraf³

et al. 2021

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This review article summarizes the patho-anatomy of the vortex veins, the major drainage channels for the choroid, and describes the various pathways of diseases associated with vortex vein abnormalities. This report also details the technical advancements to image the vortex veins, such as ultra-widefield indocyanine green angiography, which are critical to elucidate the importance of the vortices in various retino-choroidal disorders. Future applications of these advanced imaging systems to better understand the role of the vortex veins in health and disease are also discussed.

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Section: Clinical Significance Of Vortex Vein Imagingmentioning

confidence: 99%

Vortex Vein Imaging: What Can It Tell Us?

Verma¹,

Bacci²,

Sarraf³

et al. 2021

OPTH

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“…There was anatomic failure and the patient required a PPV with successful retinal reattachment. The hemorrhage resolved and the final visual acuity was 20/40 [11].…”

Section: Discussionmentioning

confidence: 91%

“…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%

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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“…The results of Mikhail et al (6) are impressive; however, the safety and efficacy of suprachoroidal buckling requires corroboration from other centres. Indeed, there are still many questions.…”

mentioning

confidence: 92%

“…It has been suggested that the only way to reverse this trend is to make the skill set for scleral buckling more like those of vitrectomy. In this issue, El Rayes and colleagues have introduced a novel method of suprachoroidal buckling which employ techniques that might be familiar to many vitrectomy surgeons [6].…”

mentioning

confidence: 99%