Subretinal Lavage to Prevent Persistent Subretinal Fluid after Rhegmatogenous Retinal Detachment Surgery: A Study of Feasibility and Safety
|Marc Veckeneer* , Elisabeth van Aken, David Wong, Rudolf Reyniers and Jan van Meurs|
|Rotterdam Eye Hospital, Schiedamsevest 180, 3011 BH Rotterdam, The Netherlands|
|Corresponding Author :||Marc Veckeneer
Rotterdam Eye Hospital
Schiedamsevest 180, 3011 BH Rotterdam
E-mail: [email protected]
|Received February 23, 2011; Accepted April 05, 2011; Published April 09, 2011|
|Citation: Veckeneer M, van Aken E, Wong D, Reyniers R, van Meurs J (2011) Subretinal Lavage to Prevent Persistent Subretinal Fluid after Rhegmatogenous Retinal Detachment Surgery: A Study of Feasibility and Safety. J Clinic Experiment Ophthalmol 2:154. doi:10.4172/2155-9570.1000154|
|Copyright: © 2011 Veckeneer M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Purpose: To report the proof of concept of a surgical innovation.
Background: Optical coherence tomography often identifies persistent subretinal fluid (PSF) after apparently successful retinal detachment repair surgery. Based on the literature, we hypothesised that highly viscous PSF, which interferes with the normal function of the retinal pigment epithelium, can lead to these persistent blebs. We therefore devised a novel surgical manoeuvre of subretinal lavage to dilute the subretinal fluid (SRF) during surgery. We expected that this would reduce the incidence of PSF.
Methods: We report our experience with a modified surgical drainage technique carried out in 12 eyes of 12 patients with long standing retinal detachments. We implemented subretinal lavage combined with vitrectomy and gas.
Results: None of the patients developed PSF.
Conclusion: We concluded that the novel technique of subretinal lavage was safe and feasible. We propose that a controlled trial would be worthwhile.