Drainage of subretinal fluid in optic disc pit maculopathy using subretinal 42-gauge cannula: a new surgical approach

Graefes Arch Clin Exp Ophthalmol. 2010 May;248(5):751-3. doi: 10.1007/s00417-010-1321-1. Epub 2010 Mar 2.

Abstract

Background: Different surgical approaches have been used for the treatment of optic disc pit associated maculopathy, with increasing emphasis on vitrectomy.

Methods: Case report

Results: We report a case of optic disc pit maculopathy where vitrectomy was combined with subretinal fluid drainage using a 42-gauge subretinal cannula connected to a "back-flush" flute handle. No retinopexy was performed at the site of drainage. This technique resulted in almost complete resolution of subretinal fluid by 6 weeks, with visual acuity improving from 1.00 Log MAR preoperatively to 0.40 at 8 months after surgery.

Conclusion: We describe a novel technique for subretinal fluid drainage using a subretinal 42-G cannula connected to a standard "back flush" flute in optic disc pit-associated maculopathy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Body Fluids*
  • Catheterization / instrumentation*
  • Drainage / instrumentation
  • Drainage / methods*
  • Humans
  • Male
  • Ophthalmologic Surgical Procedures*
  • Optic Disk / abnormalities*
  • Retinal Diseases / diagnosis
  • Retinal Diseases / physiopathology
  • Retinal Diseases / surgery*
  • Tomography, Optical Coherence
  • Visual Acuity / physiology
  • Vitrectomy