Spectral-domain optical coherence tomography imaging of postoperative scleral buckles.

PURPOSE: To describe the appearance on spectral domain optical coherence tomography of the peripheral retina and overlying vitreous after scleral buckling surgery.

METHODS

Retrospective case series of patients who underwent scleral buckle surgery and had subsequent scanning laser ophthalmoscopy/spectral-domain optical coherence tomography images over the area of buckled retina. Twelve eyes from 11 patients were identified and show a variety of retinal anatomies, vitreous configurations, and clinical applications.

RESULTS

Twelve eyes from 11 patients were studied, and in all eyes, the peripheral retina could be visualized with 10 cases of successful retinal reattachment and 2 cases of scleral buckle failure. Vitreous including strands to the causative retinal tear was seen in three eyes and overlying vitreous in four additional eyes. The scleral buckle indentation was seen in nine eyes, and in the two failed scleral buckles, unsupported retinal breaks, residual vitreous traction, and persistent subretinal fluid over the scleral buckle could be visualized and followed as it resolved.

CONCLUSION

Simultaneous scanning laser ophthalmoscopy/spectral-domain optical coherence tomography allows detailed examination of the peripheral retina and overlying vitreous after scleral buckle surgery. Along with confirmation that the retina is attached and retinal breaks are closed, the scanning laser ophthalmoscopy/spectral-domain optical coherence tomography can be used in the postoperative management of scleral buckles to identify residual vitreous traction and monitor areas of subretinal fluid.