Pneumatic retinopexy as supplemental therapy for persistent retinal detachment after scleral buckling operation

Persistent retinal detachment following scleral buckling may be caused by persistent open retinal tears with a large amount of subretinal fluid, despite proper positioning of the buckle. In this study we evaluated the effectiveness of supplemental pneumatic retinopexy in flattening of the detached r...

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Bibliographic Details
Published in:Acta ophthalmologica Scandinavica 1998-06, Vol.76 (3), p.353-355
Main Authors: Levkovitch‐Verbin, Hanna, Treister, Giora, Moisseiev, Joseph
Format: Article
Language:English
Subjects:
Adult
Aged
Female
Fluorocarbons - administration & dosage
Follow-Up Studies
Humans
Male
Middle Aged
Ophthalmologic Surgical Procedures
Recurrence
Reoperation
Retinal Detachment - etiology
Retinal Detachment - surgery
Scleral Buckling - adverse effects
Sulfur Hexafluoride - administration & dosage
Visual Acuity
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Summary:Persistent retinal detachment following scleral buckling may be caused by persistent open retinal tears with a large amount of subretinal fluid, despite proper positioning of the buckle. In this study we evaluated the effectiveness of supplemental pneumatic retinopexy in flattening of the detached retina. During 1990-1994 twelve cases of persistent retinal detachment following scleral buckling operation with appropriate position of the buckle, underwent supplemental gas injection. Reattachment of the retina with complete absorption of the subretinal fluid was observed within 24-48 hours from the gas injection in all eyes. Three eyes redetached and required additional operations. At the end of the follow-up (mean 16 months) the retina was attached in all eyes, and the visual acuity was 20/120 or better in 11 eyes, and 20/30 or better in 7 eyes. No complications were observed. Pneumatic retinopexy for persistent retinal detachment, following scleral buckling, is effective in obtaining fast flattening of the retina and achieving good visual results.
ISSN:1395-3907
1600-0420
DOI:10.1034/j.1600-0420.1998.760321.x