EXTERNAL SUBRETINAL DRAINAGE, BEVACIZUMAB, AND SCLERAL BUCKLING FOR COMPLETE EXUDATIVE RETINAL DETACHMENT AFTER PHOTOCOAGULATION IN RETINOPATHY OF PREMATURITY

摘要

Background: Total serous retinal detachment after laser photocoagulation for retinop-athy of prematurity is an infrequent type of retinal detachment in preterm babies. Purpose: To describe the successful outcome for treatment by scleral drainage, bevacizumab, and scleral buckling for complete serous exudative retinal detachment in a patient with retinopathy of prematurity. Methods: A preterm baby with primary pulmonary hypertension under treatment with sildenafil developed a total (retrolental) serous retinal detachment after photocoagulation for threshold retinopathy. The dense subretinal fluid was externally drained using a bent needle with an infusion placed in the anterior chamber. Additional bevacizumab and scleral buckling helped to control the plus disease and subretinal leakage. Results: Retinal apposition was obtained with the described approach. Conclusion: Total serous retinal detachment is a rare but severe visual complication in retinopathy of prematurity. The described technique may restore the retinae immediately in a visually critical period.