Modified technique to create retinal detachment during macular translocation surgery.
OBJECTIVE
To report a modified technique for creating total retinal detachment during macular translocation surgery with a 360-degree retinotomy.


METHODS
Interventional case series.


METHODS
After vitrectomy, BSS Plus (Alcon, Fort Worth, TX, USA) was injected into the subretinal space with a 39-gauge needle to create a small retinal detachment. The tip of a 20-gauge silicone-tipped needle was then placed in the hole created by the needle, and BSS Plus was injected subretinally at a high flow rate.


RESULTS
In 10 eyes (10 patients), we created one iatrogenic retinal hole in seven eyes and two holes in three eyes. The time needed to create total retinal detachment was decreased.


CONCLUSIONS
Our technique seems to make creation of a total retinal detachment easier compared with the previous standard procedure and may reduce postoperative complications following macular translocation surgery with a 360-degree retinotomy.
Kubota
Akira
A
Yodogawa Christian Hospital, Osaka, Japan. b101004@ych.or.jp
Harino
Seiyo
S
Ohji
Masahito
M
Tano
Yasuo
Y
D001639:Bicarbonates; D004338:Drug Combinations; D005978:Glutathione; D006801:Humans; D008266:Macula Lutea / Q000637:transplantation*; D009339:Needles; D013508:Ophthalmologic Surgical Procedures; D012163:Retinal Detachment / Q000601:surgery*; D014821:Vitrectomy
D001639:Bicarbonates; D004338:Drug Combinations; C013003:glutathione-bicarbonate-Ringer solution; D005978:Glutathione