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Hemorrhagic complications associated with suprachoroidal buckling
Fares Antaki1, Ali Dirani1,2, Marina Ravagnani Ciongoli3
11Department of Ophthalmology, Hôpital Maisonneuve-Rosemont, Université de Montréal, 5415 Assumption Blvd, Montréal, QC H1T 2M4 Canada.
International Journal of Retina and Vitreous
|April 23, 2020
Summary
Suprachoroidal buckling (SCB) for retinal detachment can cause hemorrhages, particularly in phakic patients with inferior detachments. While often self-limited, severe cases may impact vision, necessitating further study and surgical technique refinement.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Rhegmatogenous retinal detachment (RRD) repair involves various surgical techniques.
- Suprachoroidal buckling (SCB) is a newer technique using suprachoroidal injection of viscoelastic material for chorioretinal apposition.
- This study evaluates SCB complications and suggests methods to reduce them during the learning curve.
Purpose of the Study:
- To report complications associated with the Suprachoroidal buckling (SCB) technique for RRD repair.
- To propose measures for decreasing complication incidence during the SCB learning curve.
Main Methods:
- A retrospective review of 26 eyes undergoing SCB for RRD between January 2014 and March 2017.
- Analysis of patient and RRD characteristics, intraoperative complications from video review, and postoperative complications from charts.
- Inclusion of patients with single or multiple retinal breaks.
Main Results:
- Hemorrhage was the most frequent complication (23%), occurring in 6 eyes.
- All hemorrhages were observed in phakic patients with inferior RRD and inferior breaks.
- While most hemorrhages were self-limited, one extensive hemorrhage led to phthisis bulbi; re-detachment occurred in 67% of complicated cases.
Conclusions:
- Suprachoroidal buckling (SCB) for RRD is associated with hemorrhagic complications.
- Hemorrhages can range from self-limited to vision-threatening, especially when involving the suprachoroidal space.
- Refined surgical techniques and further research are crucial to improve SCB safety and efficacy.
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