Editors' Choice
    Pediatric Ophth/Strabismus, Retina/Vitreous, Vitreoretinal Diseases, Vitreoretinal Surgery

    Drs. Boss and Sears demonstrate a lens-sparing, PFO-assisted external drainage technique for a pediatric total exudative retinal detachment. The patient was a 21-month-old boy with stage 5 Coats disease and a total exudative detachment in contact with the posterior lens. The PFO-assisted sequestration of the subretinal fluid anteriorly avoids the need for a drainage retinotomy, which is critical as pediatric eyes are prone to proliferative vitreoretinopathy. Removal of the subretinal fluid allows for the application of thermal laser.

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