Suprachoroidal injection of sodium hyaluronate in the treatment of 12 patients with rhegmatogenous retinal detachment_Chinese Journal of Ocular Fundus Diseases

Authors：

Gao Yunxia , An Jingqi , Zeng Zhibing , Lou Huadong , Wu Guoqiang ,  Lu Fang

Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, ChinaLou Huadong, a refresher doctor, Weifang Eye Hospital, Weifang 261041, China; Wu Guoqiang, a refresher doctor, Department of Ophthalmology, The First people's Hospital of Lanzhou, Lanzhou 730000, China;

Corresponding author：

Lu Fang, Email: lufang@wchscu.cn

Keywords：

Retinal detachment; Sodium hyaluronate; Suprachoroidal injection

DOI：

10.3760/cma.j.issn.1005-1015.2019.03.013

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Objective To observe the retinal reattachment of suprachoroidal injection with sodium hyaluronate in the treatment of rhegmatogenous retinal detachment (RRD).Methods Twelve eyes of 12 patients with RRD diagnosed by the examinations of B-mode ultrasound, binocular indirect ophthalmoscope, OCT and scanning laser ophthalmoscope in West China Hospital of Sichuan University from October 2018 to February 2019 were included in this study. There were 7 males and 5 females, aged from 15 to 66 years, with the mean age of 32.40±14.81 years. There were 4 eyes with BCVA＜0.1, 4 eyes with BCVA 0.1-0.4, 4 eyes with BCVA＞0.4. The extent of retinal detachment involves 1 to 4 quadrants. All eyes were injected with sodium hyaluronate via suprachoroidal space under non-contact wide-angle system. Surgery was performed by the same ophthalmologist with extensive surgical experience. During the operation, the retinal hole was handled with scleral freezing and laser photocoagulation. The follow-up was 2 months. The retinal reattachment was observed.Results Of the 12 eyes, 6 eyes (50.00%) were anatomically reattached, 4 eyes (33.33%) ere partly anatomically reattached with subretinal fluid, 2 eyes (16.67%) were not reattached. The holes in 4 eyes of partly anatomically reattached with subretinal fluid were located on the choroidal pad and the holes were closed, in addition, the subretinal fluid gradually absorbed over time. Two eyes failed in retinal reattachment received vitrectomy with silicone oil tamponade or sclera buckling surgery. No severe complications such as endophthalmitis and choroidal hemorrhage were found at follow-up visits.Conclusion Suprachoroidal injection of sodium hyaluronate is an effective and safe treatment for RRD, which can promote retinal reattachment.

Citation： Gao Yunxia, An Jingqi, Zeng Zhibing, Lou Huadong, Wu Guoqiang, Lu Fang. Suprachoroidal injection of sodium hyaluronate in the treatment of 12 patients with rhegmatogenous retinal detachment. Chinese Journal of Ocular Fundus Diseases, 2019, 35(3): 274-278. doi: 10.3760/cma.j.issn.1005-1015.2019.03.013 Copy

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2.	Papakostas TD, Vavvas D. Postoperative complications of scleral buckling[J]. Semin Ophthalmol, 2018, 33(1): 70-74. DOI: 10.1080/08820538.2017.1353816.
3.	Smiddy WE, Loupe DN, Michels RG, et al. Refractive changes after scleral buckling surgery[J]. Arch Ophthalmol, 1989, 107(10): 1469-1471. DOI: 10.1001/archopht.1989.01070020543036.
4.	Alanazi R, Schellini S, AlSheikh O, et al. Scleral buckle induce obital cellulitis and scleritis--a case report and literature review[J/OL]. Saudi J Ophthalmol, 2019, 2019: 1-4[2019-01-25]. https: //www.sciencedirect.com/science/article/pii/S1319453419300013. DOI: 10.1016/j.sjopt.2019.01.001.
5.	Lincoff H, Nadel A. The changing character of the infected scleral implant[J]. Arch Ophthalmol, 1970, 84(4): 421-423. DOI: 10.1001/archopht.1970.00990040423004.
6.	Russo CE, Ruiz RS. Silicone sponge rejection, early and late complications in retinal detachment surgery[J]. Arch Ophthalmol, 1971, 85(6): 647-650. DOI: 10.1088/1475-7516/2010/01/031.
7.	Poole TA, Sudarsky RD. Suprachoroidal implantation for the treatment of retinal detachment[J]. Ophthalmology, 1986, 93(11): 1408-1412. DOI: 10.1016/S0161-6420(86)33553-X.
8.	Shanmugam P, Ramanjulu R, Mishra KD, et al. Novel techniques in scleral buckling[J]. Indian J Ophthalmol, 2018, 66(7): 909-915. DOI: 10.4103/ijo.IJO_136_18.
9.	El Rayes EN, Oshima Y. Suprachoroidal buckling for retinal detachment[J]. Retina, 2013, 33(5): 1073-1075. DOI: 10.1097/iae.0b013e318287daa5.
10.	El Rayes EN, Elborgy E. Suprachoroidal buckling: technique and indications[J]. J Ophthalmic Vis Res, 2013, 8(4): 393-399.
11.	Schaal S, Sherman MP, Barr CC, et al. Primary retinal detachment repair: comparison of 1-year outcomes of four surgical techniques[J]. Retina, 2011, 31(8): 1500-1504. DOI: 10.1097/IAE.0b013e31820d3f55.
12.	陈春丽, 宋宗明, 郑景伟, 等. 巩膜扣带术后早期泪膜变化的临床研究[J]. 眼科新进展, 2011, 31(8): 754-757. DOI: 10.13389/j.cnki.rao.2011.08.019.Chen CL, Song ZM, Zheng JW, et al. Clinical study on early change of tear film after scleral buckling surgery[J]. Rec Adv Ophthalmol, 2011, 31(8): 754-757. DOI: 10.13389/j.cnki.rao.2011.08.019.
13.	Imai H, Tagami M, Azumi A. Scleral buckling for primary rhegmatogenous retinal detachment using noncontact wide-angle viewing system with a cannula-based 25G chandelier endoilluminator[J]. Clin Ophthalmol, 2015, 11(9): 2103-2107. DOI: 10.2147/OPTH.S91339.
14.	Assi A, Abdelmassih Y, El-Khoury S. Endoillumination-assisted modified scleral buckling[J]. Retina, 2018, 38(2): 320-324. DOI: 10.1097/IAE.0000000000001568.

1. Sodhi A, Leung LS, Do DV, et al. Recent trends in the management of rhegmatogenous retinal detachment[J]. Surv Ophthalmol, 2008, 53(1): 50-67. DOI: 10.1016/j.survophthal.2007.10.007.
2. Papakostas TD, Vavvas D. Postoperative complications of scleral buckling[J]. Semin Ophthalmol, 2018, 33(1): 70-74. DOI: 10.1080/08820538.2017.1353816.
3. Smiddy WE, Loupe DN, Michels RG, et al. Refractive changes after scleral buckling surgery[J]. Arch Ophthalmol, 1989, 107(10): 1469-1471. DOI: 10.1001/archopht.1989.01070020543036.
4. Alanazi R, Schellini S, AlSheikh O, et al. Scleral buckle induce obital cellulitis and scleritis--a case report and literature review[J/OL]. Saudi J Ophthalmol, 2019, 2019: 1-4[2019-01-25]. https: //www.sciencedirect.com/science/article/pii/S1319453419300013. DOI: 10.1016/j.sjopt.2019.01.001.
5. Lincoff H, Nadel A. The changing character of the infected scleral implant[J]. Arch Ophthalmol, 1970, 84(4): 421-423. DOI: 10.1001/archopht.1970.00990040423004.
6. Russo CE, Ruiz RS. Silicone sponge rejection, early and late complications in retinal detachment surgery[J]. Arch Ophthalmol, 1971, 85(6): 647-650. DOI: 10.1088/1475-7516/2010/01/031.
7. Poole TA, Sudarsky RD. Suprachoroidal implantation for the treatment of retinal detachment[J]. Ophthalmology, 1986, 93(11): 1408-1412. DOI: 10.1016/S0161-6420(86)33553-X.
8. Shanmugam P, Ramanjulu R, Mishra KD, et al. Novel techniques in scleral buckling[J]. Indian J Ophthalmol, 2018, 66(7): 909-915. DOI: 10.4103/ijo.IJO_136_18.
9. El Rayes EN, Oshima Y. Suprachoroidal buckling for retinal detachment[J]. Retina, 2013, 33(5): 1073-1075. DOI: 10.1097/iae.0b013e318287daa5.
10. El Rayes EN, Elborgy E. Suprachoroidal buckling: technique and indications[J]. J Ophthalmic Vis Res, 2013, 8(4): 393-399.
11. Schaal S, Sherman MP, Barr CC, et al. Primary retinal detachment repair: comparison of 1-year outcomes of four surgical techniques[J]. Retina, 2011, 31(8): 1500-1504. DOI: 10.1097/IAE.0b013e31820d3f55.
12. 陈春丽, 宋宗明, 郑景伟, 等. 巩膜扣带术后早期泪膜变化的临床研究[J]. 眼科新进展, 2011, 31(8): 754-757. DOI: 10.13389/j.cnki.rao.2011.08.019.Chen CL, Song ZM, Zheng JW, et al. Clinical study on early change of tear film after scleral buckling surgery[J]. Rec Adv Ophthalmol, 2011, 31(8): 754-757. DOI: 10.13389/j.cnki.rao.2011.08.019.
13. Imai H, Tagami M, Azumi A. Scleral buckling for primary rhegmatogenous retinal detachment using noncontact wide-angle viewing system with a cannula-based 25G chandelier endoilluminator[J]. Clin Ophthalmol, 2015, 11(9): 2103-2107. DOI: 10.2147/OPTH.S91339.
14. Assi A, Abdelmassih Y, El-Khoury S. Endoillumination-assisted modified scleral buckling[J]. Retina, 2018, 38(2): 320-324. DOI: 10.1097/IAE.0000000000001568.

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Suprachoroidal injection of sodium hyaluronate in the treatment of 12 patients with rhegmatogenous retinal detachment

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