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Suprachoroidal buckling: technique and indications.

Ehab N El Rayes1, Ebrahim Elborgy1

  • 1Retina Department, Institute of Ophthalmology, Cairo, Egypt.

Journal of Ophthalmic & Vision Research
|March 22, 2014
PubMed
Summary

Suprachoroidal buckling (SCB) offers a new, feasible method for retinal detachment (RD) by creating indentation to close tears. This safe and simple procedure effectively treats myopic macular issues and peripheral breaks, potentially avoiding vitrectomy.

Keywords:
Myopic FoveoschisisMyopic HolesPeripheral BreaksRetinal DetachmentSuprachoriodal Buckling

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Area of Science:

  • Ophthalmology
  • Retinal Surgery

Background:

  • Retinal detachment (RD) presents various challenges in surgical management.
  • Existing treatments like episcleral buckles and vitrectomy have associated complications.

Purpose of the Study:

  • To evaluate the feasibility and efficacy of suprachoroidal buckling (SCB) as a novel approach for treating retinal detachment.
  • To assess SCB's application in myopic tractional maculopathy (MTM) and peripheral retinal breaks.

Main Methods:

  • SCB involves guiding specialized devices into the suprachoroidal space to deliver a long-lasting hyaluronic acid filler.
  • This injection creates suprachoroidal indentation, supporting the retina and closing retinal breaks.
  • The procedure can be performed independently or combined with vitrectomy.

Main Results:

  • Restoration of retinal layers was achieved in all treated myopic foveoschisis cases.
  • Macular holes demonstrated closure in most cases, and all peripheral retinal breaks were successfully buckled and closed in a single procedure.
  • The SCB procedure proved safe, simple, and provided sufficient duration for chorioretinal scarring.

Conclusions:

  • Suprachoroidal buckling (SCB) is a viable surgical option for specific cases of retinal detachment, including MTM and peripheral tears.
  • SCB offers an alternative to traditional episcleral buckles, potentially avoiding complications.
  • This technique may also obviate the need for vitrectomy in selected rhegmatogenous RD cases.