In-Office Suprachoroidal Viscopexy

This video demonstrates a suprachoroidal viscopexy (SCVEXY) procedure being performed in the office setting. After discussing the treatment options and informed consent, subconjunctival anesthesia with lidocaine was given. Transconjunctival injection of suprachoroidal sodium hyaluronate, 1% (Provisc; Alcon), was carried out in the superior temporal quadrant (in the region of the vitreous base), and the injection site was verified internally with indirect ophthalmoscopy. While the viscoelastic was injected by the assistant, a dome-shaped choroidal elevation formed around the injection site. Following the procedure, external pressure was applied at the injection site to reduce the risk of hemorrhage and to prevent reflux of the viscoelastic. Central retinal artery perfusion was confirmed prior to discharge of the patient. The patient was able to resume normal activity the day after the procedure with no restrictions. Click the Related Article link for full details.