Purpose To report the injection of balanced salt solution (BSS) into vitreous cavity as a surgical drainage for suprachoroidal fluid following glaucoma surgery.
Methods The technique for suprachoroidal fluid drainage involves two intravitreal injections of BSS. The first intravitreal injection of BSS site was in the quadrant where the detachment was largest. With injection of BSS into the vitreous, the intraocular pressure (IOP) increased to 40 to 50 mmHg. After removing the27Gneedle, some fluid leaked through the injection site. The second intravitreal injection in the desired quadrant with pre-loaded 2ml BSS should be performed. With slowly pressurizing the eye, rapid drainage of the flavous suprachoroidal fluid from the first puncture site was achieved.
Results With injection of BSS into the vitreous cavity, persistent choroidal detachment that unresponsiveness to medical treatment in four patients was successfully managed.
Conclusions Intravitreal injection of BSS is a minimum, inexpensive and efficacious remedy for surgical drainage of serous choroidal detachment.