MALAGOLA R, PANNARALE L, TORTORELLA P, ARRICO L. Drainage of subretinal fluid during scleral buckling surgery for rhegmatogenous retinal detachment.
G Chir 2015;
36:106-111. [PMID:
26188754 PMCID:
PMC4511038]
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Abstract
BACKGROUND AND OBJECTIVE
The purpose of the study is to compare the drainage of subretinal fluid (SRF) in a scleral pocket (SP) with incision parallel to the limbus to drainage through a simple radial scleral thinning (ST), during scleral buckling surgery for rhegmatogenous retinal detachment (RRD).
PATIENTS AND METHODS
Retrospective cohort study of one hundred sixty-nine consecutive buckling surgery for RRD, where a drainage puncture was performed through SP in eighty-five cases and through previous radial ST in eighty-four cases.
RESULTS
PT shows significant lower complication rate. The incidence of retinal incarceration or formation of a retinal hole at the first drainage site is lower in PT group (p=0.0285). During surgery choroidal detachment have been observed in a higher percentage of cases in the SP group (p=0.0379). At the end of the surgery a certain amount of SRF behind the buckling was significant in ST group (p=0.0026).
CONCLUSION
The SP drainage technique appears to be a useful, effective and safe method to drain SRF.
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