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N. Lois, Y.M. Wong; Demarcation Laser Therapy in the Management of Macular–Sparing Persistent Subretinal Fluid After Scleral Buckling Procedures . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5509.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To report on the anatomical and functional outcomes of a consecutive series of patients with residual subretinal fluid (SRF) sparing the macula after scleral buckling procedures, treated with demarcation laser therapy (DLT). Methods: The medical records of all patients with residual SRF sparing the macula after scleral buckling treated by DLT were retrospectively reviewed. Demographics, clinical characteristics of the retinal detachment (RD) prior to scleral buckling, extension of the residual SRF observed postoperatively, details of the laser procedure, anatomical and functional outcomes, and complications were evaluated. Results: Seven patients, all females, with a mean age of 47.9 years (range, 20 –81) were included in the study. The RDs were superior (n=3), inferior (n=3) and subtotal, affecting both superior and inferior retina (n=1). Scleral buckling procedures were used to treat the RD in all cases. Following DLT, the area of SRF was sealed and remained stable in four patients, and flattened in two. In one patient, extension of SRF occurred requiring further surgery. Conclusions: DLT appears to be a reasonable option in the management of patients with persistent SRF sparing the macula following scleral buckling surgery.
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