Optical coherence tomography of bleb-like subretinal lesions after retinalreattachment surgery

PURPOSE: To report the optical coherence tomographic characteristics of per sistent bleb-like subretinal lesions after retinal reattachment surgery, in cluding scleral buckling and cryopexy, METHODS: Case reports. RESULTS: Tn two eyes of two patients yellow to yellowish-orange bleb-like l esions were found in the posterior pole after retinal reattachment surgery, The common aspects of the surgery were scleral buckling procedures and cry opexy. There were subretinal precipitates in some of the lesions. The lesio ns showed no associated leakage during fluorescein or indocyanine green ang iography. Optical coherence tomography demonstrated that the blab-like lesi ons were tiny retinal detachments. CONCLUSION: Optical coherence tomography examination of bleb-like subretina l lesions showed that they were actually retinal detachments. Our patients and previously reported patients developed these lesions after scleral buck ling and cryopexy. These lesions may represent persistent retinal detachmen t because of the presence of protein in the subretinal fluid. (Am J Ophthal mol 2001;132:120-121. (C) 2001 by Elsevier Science Inc. All rights reserved .).