[Surgical treatment of inferior retinal detachment: advantages of postoperative traction of the right inferior muscle].

To evaluate the advantages of keeping the right inferior muscle in traction during external surgery for inferior retinal detachment.
This was a prospective study involving ten patients consecutively operated on for rhegmatogenous retinal detachment at the Toulouse-Rangueil Teaching Hospital. Internal plugging by air or a C2F6-air mixture was systematically performed, together with external indentation and total subretinal fluid puncture. At the end of surgery, a 2.0 silk thread was set beneath the right inferior muscle and kept in traction from the forehead for a few days. The patient was maintained feet up, in a dorsal decubitus posture.
Results proved excellent, with ten anatomical successes. However, one patient had to have gas reinjected and in another subretinal fluid persisted for 3 months.
The risk of surgical failure in inferior retinal detachment is greater because dabbing is more difficult to perform. To make this dabbing easier, we propose maintaining the ocular globe rearward by maintaining traction on the right inferior muscle, which produced excellent results.
The technique proposed is easy to perform, and combined with internal dabbing and adequate patient positioning, it should help improve the surgical outcome of inferior retinal detachments.
AuthorsL Mahieu, J C Quintyn, V Pagot-Mathis, A Mathis
JournalJournal franc╠žais d'ophtalmologie (J Fr Ophtalmol) Vol. 29 Issue 8 Pg. 891-4 (Oct 2006) ISSN: 1773-0597 [Electronic] France
Vernacular TitleTraitement chirurgical des décollements de rétine inférieurs: intérêt de la mise en traction postopératoire du muscle droit inférieur.
PMID17075504 (Publication Type: English Abstract, Journal Article)
  • Aged
  • Humans
  • Male
  • Oculomotor Muscles
  • Ophthalmologic Surgical Procedures (methods)
  • Postoperative Care
  • Prospective Studies
  • Retinal Detachment (surgery)
  • Traction

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