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Suprachoroidal buckling

P Mahesh Shanmugam, Rajesh Ramanjulu, K C Divyansh Mishra, Pradeep Sagar
Scleral buckling is a surgical technique that is employed successfully to treat rhegmatogenous retinal detachments (RRD) for more than 60 years. With the introduction of pars plana vitrectomy (PPV), there is a growing trend towards the use of PPV for treatment of retinal detachment. There is a reluctance to perform scleral buckling (SB) in RRD due to the perceived steep learning curve, declining mastery over indirect ophthalmoscopy, and poor ergonomics associated with SB. In this article, we discuss the surgical challenges and tips to overcome these in four headings: localization of the break, retinopexy, SB, and subretinal fluid (SRF) drainage...
July 2018: Indian Journal of Ophthalmology
K T Boden, K Januschowski, P Szurman
The suprachoroidal hydrogel buckle is a new, simple and safe procedure for the treatment of rhegmatogenous retinal detachment. This technique combines the advantages of modern vitrectomy and classic buckling surgery. Placing the suprachoroidal buckle is possible as a stand-alone procedure or in addition to vitrectomy. The cross-linked hyaluronic acid seems to be the ideal agent for the suprachoroidal buckle with a buckling effect over 8 weeks. We need further investigations with long-term results.
April 4, 2017: Klinische Monatsblätter Für Augenheilkunde
Mikel Mikhail, Ehab N El-Rayes, Kentaro Kojima, Radwan Ajlan, Flavio Rezende
PURPOSE: To evaluate functional and anatomic outcomes of eyes undergoing suprachoroidal buckling (SCB) using a specially designed catheter for the management of rhegmatogenous retinal detachment (RRD) secondary to peripheral retinal breaks. METHODS: Retrospective cohort study of 62 eyes of 62 patients. Subjects underwent SCB for the management of RRD secondary to single or multiple retinal breaks. Suprachoroidal indentation was achieved through the introduction of viscoelastic material in the suprachoroidal space overlying the break using an illuminated, 450 μm-wide, flex-tip catheter...
January 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
David Wong, Lara Sandri, David H W Steel
No abstract text is available yet for this article.
January 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
Ehab N El Rayes, Mikel Mikhail, Hala El Cheweiky, Kareem Elsawah, Andre Maia
PURPOSE: To evaluate functional and anatomical outcomes of eyes undergoing suprachoroidal buckling for the management of peripheral retinal breaks in rhegmatogenous retinal detachment. METHODS: Retrospective cohort study of 41 eyes of 41 patients undergoing suprachoroidal buckling for the management of rhegmatogenous retinal detachment secondary to single or multiple retinal breaks. Suprachoroidal indentation was achieved through the introduction of filler material using a 23-gauge (23-G) olive-tipped, suprachoroidal cannula...
April 2017: Retina
Peter Szurman, Karl Boden, Kai Januschowski
No abstract text is available yet for this article.
September 2016: Retina
Mumin Hocaoglu, Murat Karacorlu, Isil Sayman Muslubas, Hakan Ozdemir, Serra Arf, Omer Uysal
AIMS: To evaluate the incidence of and factors contributing to intraoperative and postoperative complications of eyes with previous pars plana vitrectomy (PPV) undergoing phacoemulsification and intraocular lens (IOL) implantation for cataract. METHODS: The intraoperative and postoperative complications and observations in 513 eyes of 485 patients with previous PPV undergoing sutured and sutureless cataract surgery were assessed. Associations between preoperative characteristics and complications during and after the surgery were explored...
September 2016: British Journal of Ophthalmology
Ehab N El Rayes
PURPOSE: To evaluate the feasibility of suprachoroidal buckling procedure using a suprachoroidal catheter, or cannula, as a new approach to treating different forms of retinal detachment, including myopic traction maculopathy, myopic macular holes, and peripheral retinal breaks by creating a suprachoroidal indentation (buckling effect) using a suprachoroidal filler. METHODS: We used specially designed devices, guided in the suprachoroidal space to reach the target space (retinal tear)...
2014: Developments in Ophthalmology
Ehab N El Rayes, Ebrahim Elborgy
The authors herein report the feasibility of suprachoroidal buckling (SCB) procedure as a new approach for treating different forms of retinal detachment (RD) by creating suprachoroidal indentation (buckling effect). With this technique, specially designed devices, i.e. a catheter or cannula, are guided in the suprachoroidal space to reach the target area. Then, a suprachoroidal filler (long lasting hyaluronic acid) is injected to indent the choroid creating SCB, thereby closing retinal tears and supporting the overlying retina...
October 2013: Journal of Ophthalmic & Vision Research
Efrem D Mandelcorn, John W Kitchens, Natalia Fijalkowski, Darius M Moshfeghi
BACKGROUND AND OBJECTIVE: To describe a novel technique using a guarded needle to drain suprachoroidal hemorrhage. PATIENTS AND METHODS: A guarded needle is used to drain suprachoroidal hemorrhage under direct microscope visualization. A scleral buckling sleeve is used to create a guarded 26-gauge needle to avoid over-penetration of the needle beyond the suprachoroidal space. Active extrusion can be used to drain suprachoroidal blood. RESULTS: The authors report two cases in which active aspiration using a guarded needle was successful in draining suprachoroidal hemorrhage without complications...
March 2014: Ophthalmic Surgery, Lasers & Imaging Retina
Xuefeng Feng, Zhizhong Ma
OBJECTIVE: To evaluate the effect of scleral buckling surgery on the treatment of hypotony caused by choroidal holes and suprachoroidal silicone oil (SO) migration following surgical procedures for open globe injuries. DESIGN: Retrospective, consecutive, interventional case series. PARTICIPANTS: Ten eyes of 10 patients with hypotony caused by choroidal holes with suprachoroidal SO migration and choroidal detachment after vitrectomy for open globe injuries between October 2009 and December 2010...
August 2013: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
Ehab N El Rayes, Yusuke Oshima
No abstract text is available yet for this article.
May 2013: Retina
Aman Chandra, Fiona Jazayeri, Tom H Williamson
INTRODUCTION: Warfarin is a commonly used anticoagulant whose effect in vitreoretinal surgery has not been well studied. METHODS: A series of 60 patients on warfarin therapy undergoing pars plana vitrectomy were retrospectively case controlled to 60 patients with similar presenting complaints. In addition, an online survey was performed of current practice in the UK. RESULTS: 2% of the patients receiving vitrectomy were on warfarin. There were 33 males and 27 females with a median age of 72...
July 2011: British Journal of Ophthalmology
Lu-Chun Wang, Chung-May Yang, Chang-Hao Yang, Jen-Sheng Huang, Tzyy-Chang Ho, Chang-Ping Lin, Muh-Shy Chen
PURPOSE: This study aimed to evaluate the clinical features and visual outcomes of non-traumatic suprachoroidal haemorrhage (SH) in Taiwan. METHODS: We report a retrospective, non-comparative, interventional case series study carried out in an institutional setting. Thirty-nine eyes with non-traumatic SH were studied using a new system for grading the severity of SH. The aetiologies of SH were analysed. The correlations between grades and prognoses of SH were studied...
December 2008: Acta Ophthalmologica
L Mahieu, J C Quintyn, X Benouaich, V Pagot-Mathis, A Mathis
INTRODUCTION: We report a series of 79 eyes undergoing primary surgery for rhegmatogenous retinal detachment associated with severe myopia greater than 10 diopters. Specific surgical procedures are recommended for these patients in order to minimize the high incidence of postoperative hemorrhagic complications. MATERIALS AND METHODS: Seventy-nine eyes of 76 patients treated for retinal detachment with severe myopia greater than 10 diopters were reviewed. Scleral buckling was performed in 21 eyes and pars plana vitrectomy in 58 eyes...
December 2006: Journal Français D'ophtalmologie
Mao-Nian Zhang, Cai-Hui Jiang
OBJECTIVE: To investigate the effect of 360-degree retinectomy for severe ocular rupture and evaluate the related factors associated with prognosis. METHODS: A retrospective analysis was performed on 28 consecutive patients, 18 men and 10 women, with severe ocular rupture admitted to the Chinese PLA General Hospital between January 1999 and January 2002. The patients' ages ranged from 16 to 58 years, mean 29.5 years. All operations were performed by the first author...
December 2005: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
A Abedin, H-C Chen
BACKGROUND: A 55 year old man sustained a severe ocular injury when hit by a cricket ball even though he was wearing a helmet. METHODS: A suprachoroidal haemorrhage was drained and dense intravitreal blood was removed. An inferior buckle was applied with the use of intraocular gas. A macular haemorrhage resolved slowly. RESULTS: Despite several surgical procedures over 1.5 years, the final visual acuity of the patient was only 6/60 because of a dense macular scar...
August 2005: British Journal of Sports Medicine
Haneen Y Jabaly-Habib, Edward M Fineberg, Paul E Tornambe, Yaron Z Lang, Hanna J Garzozi
No abstract text is available yet for this article.
October 2003: Retina
H H Ghoraba, A I Zayed
OBJECTIVE: To study the risk factors, management, and end results of suprachoroidal hemorrhage that occur during or after vitrectomy. MATERIALS AND METHODS: This retrospective study involves patients suffering from this complication either during the curing process or immediately after vitrectomy. Preoperative risk factors, operative management, postoperative picture, and end results are reported. RESULTS: During the study period, surgery was performed on 3342 patients with primary vitrectomy...
July 2001: Ophthalmic Surgery and Lasers
H Tabandeh, H W Flynn
Suprachoroidal hemorrhage is an uncommon but serious complication of pars plana vitrectomy that can be associated with a guarded visual prognosis. Risk factors for development of suprachoroidal hemorrhage during pars plana vitrectomy include high myopia, history of previous retinal detachment surgery, rhegmatogenous retinal detachment, use of cryotherapy, scleral buckling at the time of pars plana vitrectomy, external drainage of the subretinal fluid, intraoperative systemic hypertension, and bucking during general anesthesia...
June 2001: Current Opinion in Ophthalmology
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