Wael Ewais

My mistake:

I ignored the subretinal band because the surgery went on smoothly with proper retinal reattachment under heavy liquid. after performing a heavy liquid/ air exchange I observed a pocket of posterior subretinal fluid in the nasal part of the retina at the subretinal band area. I ignored this observation and injected silicone oil with the rationale that this is an isolated pocket of fluid that will be spontaneously absorbed by the underlying RPE. After silicone oil injection, I observed that the subretinal fluid is actually due to retinal folding over the subretinal band.

How to correct this mistake?

I performed a retinotomy over the subretinal band and i removed the band using a bimanual approach, then active fluid suction with the vitreous cutter, then injected further silicone oil.

Message:

Never ignore subretinal bands.