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Subretinal fluid bleb after successful scleral buckling and cryotherapy for retinal detachment.
Am J Ophthalmol. 2008 Aug; 146(2):205-210.AJ

Abstract

PURPOSE

To determine the characteristics of subretinal fluid (SRF) blebs after successful scleral buckling with cryotherapy as a treatment for rhegmatogenous retinal detachment (RD) and to investigate their possible origin.

DESIGN

Retrospective case series.

METHODS

The incidence of SRF bleb and the temporary aspects associated with the appearance and disappearance of the lesion were analyzed. Optical coherence tomography (OCT) was used to confirm SRF and indocyanine green angiography (ICGA) was carried out to evaluate choroidal circulation in some of the cases.

RESULTS

SRF bleb was observed in 11 (9.3%) of 118 cases with the history of successful scleral buckling and cryotherapy. The lesions were detected 8.7 +/- 5.5 (mean +/- standard deviation [SD]) weeks after complete retinal reattachment, and the mean +/- SD period required for the disappearance of the lesion was 4.7 +/- 3.4 months. SRFs were verified by OCT in five cases of macular involvement. ICGA revealed choroidal vascular congestion and hyperpermeability near the lesion in three of four cases, and these vascular abnormalities remained unchanged after the removal of the scleral explant.

CONCLUSIONS

SRF bleb after successful RD surgery disappears spontaneously within one year. The origin of the lesion may be associated with choroidal vascular changes resulting from cryotherapy.

Authors+Show Affiliations

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. swkang@skku.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18514609

Citation

Kang, Se Woong, et al. "Subretinal Fluid Bleb After Successful Scleral Buckling and Cryotherapy for Retinal Detachment." American Journal of Ophthalmology, vol. 146, no. 2, 2008, pp. 205-210.
Kang SW, Kim JH, Shin WJ, et al. Subretinal fluid bleb after successful scleral buckling and cryotherapy for retinal detachment. Am J Ophthalmol. 2008;146(2):205-210.
Kang, S. W., Kim, J. H., Shin, W. J., & Kim, J. I. (2008). Subretinal fluid bleb after successful scleral buckling and cryotherapy for retinal detachment. American Journal of Ophthalmology, 146(2), 205-210. https://doi.org/10.1016/j.ajo.2008.04.005
Kang SW, et al. Subretinal Fluid Bleb After Successful Scleral Buckling and Cryotherapy for Retinal Detachment. Am J Ophthalmol. 2008;146(2):205-210. PubMed PMID: 18514609.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Subretinal fluid bleb after successful scleral buckling and cryotherapy for retinal detachment. AU - Kang,Se Woong, AU - Kim,Jae Hui, AU - Shin,Woo Jae, AU - Kim,Jong In, Y1 - 2008/06/02/ PY - 2008/01/06/received PY - 2008/04/02/revised PY - 2008/04/02/accepted PY - 2008/6/3/pubmed PY - 2008/8/30/medline PY - 2008/6/3/entrez SP - 205 EP - 210 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 146 IS - 2 N2 - PURPOSE: To determine the characteristics of subretinal fluid (SRF) blebs after successful scleral buckling with cryotherapy as a treatment for rhegmatogenous retinal detachment (RD) and to investigate their possible origin. DESIGN: Retrospective case series. METHODS: The incidence of SRF bleb and the temporary aspects associated with the appearance and disappearance of the lesion were analyzed. Optical coherence tomography (OCT) was used to confirm SRF and indocyanine green angiography (ICGA) was carried out to evaluate choroidal circulation in some of the cases. RESULTS: SRF bleb was observed in 11 (9.3%) of 118 cases with the history of successful scleral buckling and cryotherapy. The lesions were detected 8.7 +/- 5.5 (mean +/- standard deviation [SD]) weeks after complete retinal reattachment, and the mean +/- SD period required for the disappearance of the lesion was 4.7 +/- 3.4 months. SRFs were verified by OCT in five cases of macular involvement. ICGA revealed choroidal vascular congestion and hyperpermeability near the lesion in three of four cases, and these vascular abnormalities remained unchanged after the removal of the scleral explant. CONCLUSIONS: SRF bleb after successful RD surgery disappears spontaneously within one year. The origin of the lesion may be associated with choroidal vascular changes resulting from cryotherapy. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/18514609/Subretinal_fluid_bleb_after_successful_scleral_buckling_and_cryotherapy_for_retinal_detachment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(08)00274-2 DB - PRIME DP - Unbound Medicine ER -