MINIMAL INVASIVE DRAINAGE TECHNIQUE FOR LARGE EXPANDING SUBRETINAL GAS BUBBLE

Area of Science:

• Ophthalmology
• Retinal Surgery
• Minimally Invasive Procedures

Background:

• Subretinal gas injection is a rare but serious complication during retinal detachment surgery.
• Prompt management is crucial to prevent vision loss and retinal damage.

Observation:

• A case report details a 40-year-old male with bullous rhegmatogenous retinal detachment.
• Inadvertent large subretinal gas injection occurred during cryo-pneumatic retinopexy.
• The patient presented with a large expanding subretinal gas bubble.

Findings:

• A minimally invasive technique successfully drained the subretinal gas bubble in an office-based setting.
• Post-procedure, perfluoropropane (C3F8) gas was injected, and the macula remained attached.
• Complete retinal reattachment and 20/20 vision were achieved within 45 days.

Implications:

• This technique offers a potential office-based solution for managing subretinal gas complications.
• It may be an alternative when immediate vitrectomy is not feasible.
• Surgeons should be proficient in managing potential complications if attempting this procedure.