Our objective is to illustrate a clinical case using the external subretinal fluid drainage technique in a total exudative retinal detachment secondary to a diffuse choroidal hemangioma in a patient with Sturge-weber syndrome.
This clinical case involves a 19-year-old male with Sturge-Weber syndrome who had total closed-funnel retinal detachment secondary to diffuse choroidal hemangioma
A 19-year-old patient with Sturge-Weber syndrome presented with vision loss in the right eye. Examination revealed total exudative retinal detachment secondary to diffuse choroidal hemangioma, and ultrasound showed a diffuse choroidal mass with closed funnel retinal detachment. Due to difficulty in directly visualizing the tumor, transpupillary thermotherapy was chosen instead of photodynamic therapy. During surgery, external drainage of subretinal fluid was performed, and an anterior chamber maintainer was used to properly expand the retina, followed by vitrectomy with perfluorocarbon and air. Transpupillary thermotherapy was completed, and the procedure was finished with an exchange with 20% Sf6 gas. Postoperative follow-up indicated successful retinal repositioning, significant reduction in subretinal fluid, improved visual acuity to 20/100, and no recurrence or complications after 6 months
The complexity of retinal detachment led us to novelly use a technique for external drainage of subretinal fluid
The authors have no financial interests in any material discussed in this article. There are no conflicts of interest to disclose.