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Indirect argon laser drainage of subretinal fluid

Abstract

We report on a new method of subretinal fluid drainage which uses the indirect ophthalmoscopic delivery of argon laser energy to perforate the choroid. This carries all the theoretical advantages of drainage with the endolaser probe but is simpler and less expensive. We present a prospective series of 31 patients in whom this method was applied. Satisfactory drainage was obtained in 28. There were 4 cases of limited subretinal haemorrhage attributable to the laser, and 1 case of subfoveal haemorrhage. No cases of retinal perforation or incarceration were observed.

References

  1. Raymond GL, Lavin MJ, Dodd CL, McLeod D . Suture needle drainage of subretinal fluid. Br J Ophthalmol 1993;77:428–9.

    CAS  Article  Google Scholar 

  2. Schwartz A . Drainage of subretinal fluid in retinal detachment surgery. Am J Ophthalmol 1959;47:98–107.

    CAS  Article  Google Scholar 

  3. Martin B . Controlled release of subretinal fluid. Mod Probl Ophthalmol 1975;15:829–36.

    Google Scholar 

  4. Freeman HM, Schepens CL . Innovations in technique for drainage of subretinal fluid: transillumination and choroidal diathermy. Trans Am Acad Ophthalmol Otolaryngol 1974;78:829–36.

    Google Scholar 

  5. Charles ST . Controlled drainage of subretinal and choroidal fluid. Retina 1985;5:223–34.

    Article  Google Scholar 

  6. Bovino JA, Marcus DF, Nelson PT . Argon laser choroidotomy for drainage of subretinal fluid. Arch Ophthalmol 1985;103:443–4.

    CAS  Article  Google Scholar 

  7. Ryan EH, Arribas NP, Olk RJ, Grand MG, Boniuk I . External argon laser drainage of subretinal fluid using the endolaser probe. Retina 1991;11:214–8.

    Article  Google Scholar 

  8. Fitzpatrick EP, Abbot D . Drainage of subretinal fluid with the argon laser. Am J Ophthalmol 1993;115:755–7.

    CAS  Article  Google Scholar 

  9. Aylward GW, Orr G, Schwartz SD, Leaver PK . A prospective, randomised, controlled trial comparing suture needle drainage and argon laser drainage of subretinal fluid. Br J Ophthalmol 1995;79:724–7.

    CAS  Article  Google Scholar 

  10. Burton RL, Cairns JD, Campbell WG, Heriot WJ, Heinze JB . Needle drainage of subretinal fluid: a randomised clinical trial. Presentation. Vienna: Club Jules Gonin XVIII Meeting, September 1992.

  11. Cibis PA . Errors in the management of retinal detachment surgery. Mod Probl Ophthalmol 1965;3:284–308.

    Google Scholar 

  12. Lincoff H, Kreissig I . The treatment of retinal detachment without drainage of subretinal fluid. Trans Am Acad Ophthalmol Otolaryngol 1972;76:1221–33.

    Google Scholar 

  13. Gilbert C, McLeod D . D-ACE surgical sequence for selected bullous retinal detachments. Br J Ophthalmol 1985;69:733–6.

    CAS  Article  Google Scholar 

  14. Stanford MR, Chignell AH . Surgical treatment of superior bullous retinal detachments. Br J Ophthalmol 1985;69:729–32.

    CAS  Article  Google Scholar 

  15. Chignell AH . Retinal detachment surgery. In: Miller Sir S, editor. Clinical ophthalmology. Bristol: Wright, 1987.

  16. Wilkinson CP, Bradford RH . Complications of draining subretinal fluid. Retina 1984;4:1–4.

    CAS  Article  Google Scholar 

  17. Hilton GF . The drainage of subretinal fluid: a randomised controlled clinical trial. Trans Am Ophthalmol Soc 1981;79:517–40.

    CAS  Google Scholar 

  18. Wong D, Chignell AH, Inglesby DV, Little BC, Franks W . The treatment of bullous rhegmatogenous retinal detachment. Graefes Arch Clin Exp Ophthalmol 1992;230:218–20.

    CAS  Article  Google Scholar 

  19. Das TP, Jalali S . Laser-aided external drainage of subretinal fluid: prospective randomised comparison with needle drainage. Ophthalmic Surg 1994;25:236–9.

    CAS  Google Scholar 

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Pitts, J., Schwartz, S., Wells, J. et al. Indirect argon laser drainage of subretinal fluid. Eye 10, 465–468 (1996). https://doi.org/10.1038/eye.1996.102

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