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Submacular fluid after encircling buckle surgery for inferior macula-off retinal detachment in young patients

  1. Hana Abouzeid1,
  2. Klio Becker2,
  3. Frank G. Holz2,
  4. Thomas J. Wolfensberger1

Article first published online: 28 JUN 2008

DOI: 10.1111/j.1755-3768.2008.01196.x

Issue

Acta Ophthalmologica

Acta Ophthalmologica

Volume 87, Issue 1, pages 96–99, February 2009

Additional Information

How to Cite

Abouzeid, H., Becker, K., Holz, F. G. and Wolfensberger, T. J. (2009), Submacular fluid after encircling buckle surgery for inferior macula-off retinal detachment in young patients. Acta Ophthalmologica, 87: 96–99. doi: 10.1111/j.1755-3768.2008.01196.x

Author Information

  1. 1

    Jules-Gonin Eye Hospital, University of Lausanne, Switzerland

  2. 2

    Department of Ophthalmology, University of Bonn, Germany

*Thomas J. Wolfensberger Jules-Gonin Eye Hospital University of Lausanne 15, Av. de France CH-1004 Lausanne Switzerland Tel: + 41 21 626 81 11 Fax: + 41 21 626 81 44 Email: thomas.wolfensberger@ophtal.vd.ch

Publication History

  1. Issue published online: 27 JAN 2009
  2. Article first published online: 28 JUN 2008
  3. Received on July 8th, 2007. Accepted on December 17th, 2007.

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Keywords:

  • optical coherence tomography;
  • retinal detachment;
  • submacular fluid;
  • surgery of retinal detachment

Abstract.

Purpose:  Characterization of persistent diffuse subretinal fluid using optical coherence tomography (OCT) after successful encircling buckle surgery for inferior macula-off retinal detachment in young patients.

Methods:  Institutional retrospective review of six young patients (mean age 31 ± 6 years; five female, one male) with spontaneous inferior rhegmatogenous macula-off retinal detachment. All patients were treated with encircling buckle surgery and five out of six underwent additional external drainage of subretinal fluid. Mean follow-up was 37 ± 25 months (range 17–75 months) and included complete ophthalmic and OCT examination.

Results:  At 6 months, 100% of patients showed persistence of subretinal fluid on OCT. Four patients had diffuse fluid accumulation, whereas two patients showed a ‘bleb-like’ accumulation of fluid. This fluid was present independent of whether or not patients had been treated with external fluid drainage. Subretinal fluid only started to disappear on OCT between 6 and more than 12 months after surgery.

Conclusion:  Young patients with inferior macula-off retinal detachments and a marginally liquefied vitreous may show persisting postoperative subclinical fluid under the macula for longer periods of time than described previously.

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