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[Retinal detachment and laser drainage]

E H Bovey1, M Gonvers

  • 1Hôpital Ophtalmique Jules Gonin, Lausanne.

Klinische Monatsblatter Fur Augenheilkunde
|May 1, 1995
PubMed
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Argon laser perforation of the choroid is safer than 30G needle drainage for subretinal fluid. Laser use resulted in fewer retinal perforations and subretinal hemorrhages in retinal detachment surgery.

Area of Science:

  • Ophthalmology
  • Retinal Surgery

Background:

  • Subretinal fluid drainage is crucial in retinal detachment surgery.
  • Choroidal perforation is a key step in subretinal fluid drainage.

Purpose of the Study:

  • To compare the safety and efficacy of Argon laser versus 30G needle for choroidal perforation during subretinal fluid drainage.

Main Methods:

  • A comparative study involving 106 cases of retinal detachment.
  • Choroidal perforation was performed using Argon laser in 53 eyes and 30G needle in 53 eyes.
  • Complications were meticulously recorded and compared between the two groups.

Main Results:

  • The Argon laser group (Group I) experienced a 1.8% rate of retinal perforation and 3.6% rate of hemorrhage.

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  • The 30G needle group (Group II) showed a 7.2% rate of retinal perforation (direct and secondary) and a 13.2% rate of subretinal hemorrhage.
  • Laser drainage demonstrated a lower incidence of complications.

    • Conclusions:

    • Argon laser perforation of the choroid is a safer technique than 30G needle for subretinal fluid drainage.
    • The laser method is associated with a significantly lower risk of iatrogenic retinal perforations and subretinal hemorrhages.