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Minimally Invasive Technique for Choroidal Fluid Drainage.
Shadi Safuri1, Laura Bar-David1, Yoreh Barak1
1Department of Ophthalmology, Rambam Health Care Campus, Haifa, Israel.
Clinical Ophthalmology (Auckland, N.Z.)
|August 6, 2020
Summary
A new, minimally invasive surgical technique effectively treats kissing choroidal detachment. This sutureless approach offers a fast, safe, and efficient treatment option for this ocular condition.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Kissing choroidal detachment is a condition requiring effective treatment.
- Conventional techniques may be invasive and require vitreous access.
Purpose of the Study:
- To describe a novel, minimally invasive surgical technique for treating kissing choroidal detachment.
- To highlight the advantages of this new approach over existing methods.
Main Methods:
- A maintainer is placed in the anterior chamber.
- A 25G trocar is inserted into the suprachoroidal space via the pars plana.
- Drainage is confirmed by fluid emergence, anterior chamber deepening, and increased red reflex.
Main Results:
- Successful resolution of choroidal detachment confirmed by ultrasound 1 week post-surgery.
- The procedure was rapid, with an average surgery time of 10 minutes.
- No intraoperative or postoperative complications were observed.
Conclusions:
- This represents the first report of this technique in phakic eyes.
- The study provides a video description and real-time indicators for successful drainage, even with limited visibility.
- The technique is minimally invasive, sutureless, and avoids vitreous entry.
