Ab-externo drainage with continuous anterior chamber infusion for non-resolving exudative retinal detachment: a case report
| Autor: | Emily H. Shao, Perach Osaadon, Matthew P. Simunovic |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pars plana
Intraocular pressure medicine.medical_specialty Visual acuity genetic structures Adolescent Exudative retinal detachment Anterior Chamber medicine.medical_treatment Vitrectomy Case Report 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine lcsh:Ophthalmology Ophthalmology medicine Humans Sub-retinal fluid drainage Drainage business.industry Vogt-Koyanagi-Hara syndrome Subretinal Fluid Retinal detachment Retinal General Medicine medicine.disease eye diseases medicine.anatomical_structure chemistry lcsh:RE1-994 030221 ophthalmology & optometry Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | BMC Ophthalmology BMC Ophthalmology, Vol 20, Iss 1, Pp 1-4 (2020) |
| ISSN: | 1471-2415 |
| Popis: | Background Drainage of exudative retinal detachment may be necessary for either therapeutic or diagnostic purposes (or both). Here, we describe an external drainage technique for non-resolving vision-threatening exudative retinal detachment which combines the advantages of internal drainage (widefield viewing and intraocular pressure control using continuous anterior chamber infusion) with those of external drainage (drainage of sub-retinal fluid without vitrectomy). Case presentation To illustrate this technique, we present a 13-year-old girl with macula-off exudative retinal detachment secondary to Vogt-Koyanagi-Harada syndrome, which was unresponsive to aggressive medical management. External drainage was undertaken using widefield viewing and chandelier illumination. Intraocular pressure was maintained with an anterior chamber infusion. Near-complete drainage of sub-retinal fluid was achieved, and retinal reattachment was maintained at 6 months postoperatively, with a corresponding improvement in visual acuity from 20/63 to 20/40. Conclusions External drainage under chandelier-assisted viewing at the surgical microscope with anterior chamber infusion offers the ergonomic and optical advantages of the surgical microscope and widefield visualisation, continuous IOP control and drainage of sub-retinal fluid without the need for pars plana vitrectomy. |
| Databáze: | OpenAIRE |
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