Chromophore-Assisted Retinal Break Detection to Manage Challenging Situations in Retinal Detachment Redo Surgery
Introduction. The purpose of this case series is to demonstrate that subretinal blue dye injection, with and without 180-degree endolaser retinopexy, can be considered a useful tool in finding occult rhegmatogenous retinal breaks in eyes with recurrent retinal detachment. Case Presentation. Three pa...
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doaj-d00f011c75ef4fb7bd5ce546059a77e32020-12-14T09:46:36ZengHindawi LimitedCase Reports in Ophthalmological Medicine2090-67222090-67302020-01-01202010.1155/2020/13894341389434Chromophore-Assisted Retinal Break Detection to Manage Challenging Situations in Retinal Detachment Redo SurgeryAntonio Berarducci0Martina Colasante1Antonio Laborante2UOC of Ophthalmology, Head and Neck Department, IRCCS Casa Sollievo della Sofferenza Hospital, 71017 San Giovanni Rotondo, Foggia, ItalyUOC of Ophthalmology, Head and Neck Department, IRCCS Casa Sollievo della Sofferenza Hospital, 71017 San Giovanni Rotondo, Foggia, ItalyUOC of Ophthalmology, Head and Neck Department, IRCCS Casa Sollievo della Sofferenza Hospital, 71017 San Giovanni Rotondo, Foggia, ItalyIntroduction. The purpose of this case series is to demonstrate that subretinal blue dye injection, with and without 180-degree endolaser retinopexy, can be considered a useful tool in finding occult rhegmatogenous retinal breaks in eyes with recurrent retinal detachment. Case Presentation. Three patients with recurrent retinal detachment were treated between January and March 2018. In all cases, the intraoperative internal search did not demonstrate any obvious break or hole. MembraneBlue-Dual (Trypan Blue 0.15% + Brilliant Blue G 0.025% + 4% PEG) was then injected into the subretinal space using a 41-gauge cannula. The eye was rotated such that the dye was pushed through a tiny break which was causing the retinal detachment. 180-degree laser retinopexy was performed on a single eye. After silicon oil removal and absorption of the gas tamponade, retinas remained attached at three-months follow-up. Conclusions. Chromophore-assisted occult retinal break detection can be considered a useful but not risk-free surgical technique in managing some unexpected and challenging intraoperative situations.http://dx.doi.org/10.1155/2020/1389434 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Antonio Berarducci Martina Colasante Antonio Laborante |
spellingShingle |
Antonio Berarducci Martina Colasante Antonio Laborante Chromophore-Assisted Retinal Break Detection to Manage Challenging Situations in Retinal Detachment Redo Surgery Case Reports in Ophthalmological Medicine |
author_facet |
Antonio Berarducci Martina Colasante Antonio Laborante |
author_sort |
Antonio Berarducci |
title |
Chromophore-Assisted Retinal Break Detection to Manage Challenging Situations in Retinal Detachment Redo Surgery |
title_short |
Chromophore-Assisted Retinal Break Detection to Manage Challenging Situations in Retinal Detachment Redo Surgery |
title_full |
Chromophore-Assisted Retinal Break Detection to Manage Challenging Situations in Retinal Detachment Redo Surgery |
title_fullStr |
Chromophore-Assisted Retinal Break Detection to Manage Challenging Situations in Retinal Detachment Redo Surgery |
title_full_unstemmed |
Chromophore-Assisted Retinal Break Detection to Manage Challenging Situations in Retinal Detachment Redo Surgery |
title_sort |
chromophore-assisted retinal break detection to manage challenging situations in retinal detachment redo surgery |
publisher |
Hindawi Limited |
series |
Case Reports in Ophthalmological Medicine |
issn |
2090-6722 2090-6730 |
publishDate |
2020-01-01 |
description |
Introduction. The purpose of this case series is to demonstrate that subretinal blue dye injection, with and without 180-degree endolaser retinopexy, can be considered a useful tool in finding occult rhegmatogenous retinal breaks in eyes with recurrent retinal detachment. Case Presentation. Three patients with recurrent retinal detachment were treated between January and March 2018. In all cases, the intraoperative internal search did not demonstrate any obvious break or hole. MembraneBlue-Dual (Trypan Blue 0.15% + Brilliant Blue G 0.025% + 4% PEG) was then injected into the subretinal space using a 41-gauge cannula. The eye was rotated such that the dye was pushed through a tiny break which was causing the retinal detachment. 180-degree laser retinopexy was performed on a single eye. After silicon oil removal and absorption of the gas tamponade, retinas remained attached at three-months follow-up. Conclusions. Chromophore-assisted occult retinal break detection can be considered a useful but not risk-free surgical technique in managing some unexpected and challenging intraoperative situations. |
url |
http://dx.doi.org/10.1155/2020/1389434 |
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