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       XXIV Annual Congress of the Iranian Society of Ophthalmology        بـیــست و چهارمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Increasing the safety of external subretinal fluid drainage during scleral buckling surgery: a simple method using a 25G inflow.
Author(s): Majid Abrishami, Mirnaghi Moosavi, Touka Banaee,Mohammad-Reza Ansari-Astaneh, Nasser Shoeibi, Seyedeh Maryam Hosseini
Presentation Type: Poster
Subject: Posterior Segment and Uveitis
Others:
Presenting Author:
Name: Mohammad reza Ansari Astaneh
Affiliation :(optional) Retina research center, Khatam-al Anbia eye hospital, Mashhad university of medical science
E mail: m_ansariastaneh@yahoo.com
Phone: 05137281401
Mobile: 09153222665
Purpose:

To introduce a simple and practical modification in external subretinal fluid drainage during scleral buckling to increase the safety and limit the complications of surgery.

Methods:

We placed a 25G infusion cannula 3.5 mm from limbus in the draining quadrant before starting external subretinal fluid drainage. A 4-0 spatulated suture needle grasped with a needle holder 2-3 mm from its distal tip, plugged firmly through the sclera in a preselected place. Constant slow dripping of BSS to the eye through the inflow would maintain IOP and avoid hypotony during and after SRF egression. An indirect fundus exam was done at the end of the procedure with special attention to the draining and scleretomy sites.

Results:

Ten eyes of ten patients with primary retinal detachment and massive subretinal fluid underwent scleral buckle placement and SRFD using abovementioned method. No hypotony was observed and the eye was form during and after procedure. A localized and controlled hemorrhage was seen in one patient without progression. No other complication was occured.

Conclusion:

Placement of an inflow before external subretinal fluid drainage is a safe and simple method to avoid hypotony and its complications during and after the procedure.

Attachment: 5916.pptx





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  - بـیــست و چهارمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران