Subretinal lesions following scleral buckling procedure

L. A. Lobes Jr and M. G. Grand

In five patients, subretinal lesions developed several weeks after scleral buckling procedures for retinal detachment. The lesions appear to be subretinal, well circumscribed, dome shaped, yellow-orange unassociated with edema or disturbance of the overlying retina, and unaccompanied by overlying inflammatory cells in the vitreous. All were located temporal to the fovea in the posterior pole. The angiographic pattern was characteristic, showing obscuration of the usual appearance of the lamina choroidocapillaris. Throughout the angiogram, the lesion remained unchanged, showing no increasing hyperfluorescence or hypofluorescence. Final visual acuities were 20/40 or better in all five patients, with follow-up periods from three to seven months. There is some evidence to suggest that these lesions represent persistent, isolated pockets of subretinal fluid.