Purpose: To study the usefulness of endoscopy-guided subretinal fluid drainage in pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD). Participants/Methods: A prospective non-comparative study of a small number of RRD cases. The study involved examining 10 eyes of 10 patients with RRD that received PPV. Two eyes had hazy corneas, which hindered the observation by surgical microscopy. Fluid-gas exchange was performed and then subretinal fluid was drained through a primary retinal break guided by an endoscope. No drainage retinotomy was made. Each clinical feature was studied and the surgical outcome and complications were evaluated. Results: All eyes had retinal reattachment by a single operation. No serious complication related to surgery was experienced. Conclusions: Endoscopy-guided subretinal fluid drainage is the safe and effective procedure in PPV for RRD.

1.
Charles S, McCarthy C, Eichenbaum D: Mechanical syringe drive for vitreous surgery. Am J Ophthalmol 1975;79:879–880.
2.
Hueneke RL, Aaberg TM: Instrumentation for continuous fluid-air exchange during vitreous surgery. Am J Ophthalmol 1983;96:547–548.
3.
Doft BH: Intentional retinotomy for internal drainage of subretinal fluid. Arch Ophthalmol 1986;104:807–808.
4.
Berrod JP, Rozot P, Raspiller A, Thiery D: Fluid air exchange in vitreo retinal surgery. Int Ophthalmol 1994/95;18:237–241.
5.
Mathis A: Fluid-air exchange. J Fr Ophtalmol 1992;15:367–371.
6.
McCuen BW 2nd, Hickingbotham D: An automated aspirating-backflush system for fluid-gas exchange and retinal manipulation. Arch Ophthalmol 1989;107:930.
7.
Flynn HW Jr, Blumenkranz MS, Parel JM, Lee WG: Cannulated subretinal fluid aspirator for vitreoretinal microsurgery. Am J Ophthalmol 1987;103:106–108.
8.
McDonald HR, Lewis H, Aaberg TM, Abrams GW: Complications of endodrainage retinotomies created during vitreous surgery for complicated retinal detachment. Ophthalmology 1989;96:358–363.
9.
Okada K, Sakata H, Mizote H, Minamoto A, Narai A, Choshi K: Postoperative posterior retinal holes after pars plana vitrectomy for primary retinal detachment. Retina 1997;17:99–104.
10.
Lecoq PJ, Billotte C, Combe JC, Hamel C: A plea for endoscopy in various retino-vitreous operations. Bull Soc Ophtalmol Fr 1987;87:575–576.
11.
Boscher C, Lebuisson DA, Lean JS, Nguyen-Khoa JL: Vitrectomy with endoscopy for management of retained lens fragments and/or posteriorly dislocated intraocular lens. Graefes Arch Clin Exp Ophthalmol 1998;236:115–121.
12.
Uram M: Endoscopic fluorescein angiography. Ophthalmic Surg Lasers 1996;27:849–855.
13.
Scott IU, Murray TG, Flynn HW Jr, Smiddy WE, Feuer WJ, Schiffman JC: Outcomes and complications associated with perfluoro-n-octane and perfluoroperhydrophenanthrene in complex retinal detachment repair. Ophthalmology 2000;107:860–865.
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