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COMBINING EXTERNAL NEEDLE DRAINAGE AND SCLERAL BUCKLING WITH VITRECTOMY FOR THE REPAIR OF BULLOUS RETINAL DETACHMENTS

Chen, Judy, J., MD*,†; Kalevar, Ananda, MD*,†; Jumper, James, Michael, MD*,†

doi: 10.1097/IAE.0000000000001948
Original Study: PDF Only

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.

We 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.

*Department of Ophthalmology, California Pacific Medical Center, San Francisco, California; and

West Coast Retina Medical Group, San Francisco, California.

Reprint requests: J. Michael Jumper, MD, West Coast Retina Medical Group, Inc, 1445 Bush Street, San Francisco, CA 94109; e-mail: wcr@westcoastretina.com

Supported by the Pacific Vision Foundation and the San Francisco Retina Research Fund.

Presented at the Duke Advanced Vitreous Surgery Course, Durham, NC, April 21 to 22, 2017.

None of the authors has any conflicting interests to disclose.

© 2018 by Ophthalmic Communications Society, Inc.