External Drainage of Subretinal Fluid in Complex Retinal Detachment Due to Choroidal Hemangioma

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. Due to the complexity of the detachment, including adhesion of the retina to the posterior capsule of the lens, a novel external drainage technique was used. First, an anterior chamber maintainer with high flow pressure was placed, which displaced the retina toward the posterior plane. Then, the subretinal fluid was aspirated using a 30 gauge needle, followed by interface vitrectomy. Gas was left inside the eye, and the procedure concluded with application of laser over the tumor. 

Financial Disclosures: Dr. Carlos Cordoba Ortega discloses no financial relationships. Dr. Juan David Arias Aristizabal discloses no financial relationships. Dr. Dayron Martinez discloses no financial relationships.