This post presents Drainage Retinotomy for Reattachment of a Rhegmatogenous Retinal Detachment with No Tear Found. This is a 49-year-old female patient with a history of complicated cataract surgery 1 year ago and visual loss in her left eye for 2 days. A trifocal IOL was placed in the sulcus. Fundus examination of the left eye revealed a macula-off rhegmatogenous retinal detachment. However, the location of the tear could not be determined before the surgery.
Preoperative OCT image
Despite the 360-degree vitreous base cleaning, the surgeon did not encounter any tears or holes. He decided to open a drainage retinotomy from the inferior nasal quadrant, 2-3 optic discs away from the optic disc, to drain the subretinal fluid. Since he could not find the tear, he preferred to use silicone oil tamponade. After silicone oil removal, the retina was completely reattached and BCVA was 20/20.
Equipment and materials used in the surgery:
- Eibos 2 imaging system: XL lens for core vitrectomy
- Alcon Constellation vitrectomy device
- Alcon Illuminated Flexible Curved Laser Probe
- 1000 cS silicone oil
Postoperative color photography and OCT image
The YouTube video provides a detailed explanation of the surgery (click here to watch the video).
Credit: M. Giray Ersoz, MD, FEBO Biruni University School of Medicine, Department of Ophthalmology, Istanbul, Turkey
Instagram accounts: @retina.review and @retina.dr.girayersoz