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Trabecular Meshwork Response to Pressure Elevation in the Living Human Eye
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Suprachoroidal buckling
1Retina Department, Institute of Ophthalmology, Cairo, Egypt.
Developments in Ophthalmology
|September 9, 2014
Summary
A novel suprachoroidal buckling procedure using a specialized catheter and filler effectively treats retinal detachment, including myopic macular holes and peripheral breaks. This minimally invasive technique offers a safe and feasible alternative surgical option for various retinal conditions.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Vitreoretinal Diseases
Background:
- Retinal detachment poses a significant threat to vision.
- Current treatments for retinal detachment, such as vitrectomy and episcleral buckling, have limitations.
- Myopic macular pathologies and peripheral retinal breaks present unique surgical challenges.
Purpose of the Study:
- To assess the feasibility of a new suprachoroidal buckling procedure for retinal detachment.
- To evaluate the efficacy of suprachoroidal indentation using a novel filler for various retinal conditions.
- To explore the potential of this technique in managing myopic traction maculopathy, macular holes, and peripheral retinal breaks.
Main Methods:
- A suprachoroidal catheter/cannula was used to access the subretinal space.
- A long-lasting hyaluronic acid filler was injected to create a suprachoroidal buckle.
- The technique was applied to central myopic macular holes and peripheral retinal breaks, alone or with vitrectomy.
Main Results:
- Successful retinal layer restoration in all myopic foveoschisis cases.
- 83% closure rate for myopic macular hole detachment, with 66.6% visual acuity improvement.
- All peripheral retinal breaks were adequately buckled and closed in a single procedure.
- The suprachoroidal buckle provided sufficient support and remained effective over 24 months.
- The procedure demonstrated safety and simplicity in application.
Conclusions:
- Suprachoroidal buckling is a feasible method for managing myopic foveoschisis and macular hole detachment, even after failed vitrectomy.
- This technique effectively treats peripheral retinal tears and selected retinal detachments, including subsilicone inferior recurrent retinal detachment.
- It offers a valuable addition to surgical options, potentially avoiding complications associated with traditional methods.
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