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

AbstractPURPOSE:
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.
METHODS:
During 1990-1994 twelve cases of persistent retinal detachment following scleral buckling operation with appropriate position of the buckle, underwent supplemental gas injection.
RESULTS:
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.
CONCLUSION:
Pneumatic retinopexy for persistent retinal detachment, following scleral buckling, is effective in obtaining fast flattening of the retina and achieving good visual results.
AuthorsH Levkovitch-Verbin, G Treister, J Moisseiev
JournalActa ophthalmologica Scandinavica (Acta Ophthalmol Scand) Vol. 76 Issue 3 Pg. 353-5 (Jun 1998) ISSN: 1395-3907 [Print] Denmark
PMID9686853 (Publication Type: Journal Article)
Chemical References
  • Fluorocarbons
  • perflutren
  • Sulfur Hexafluoride
Topics
  • Adult
  • Aged
  • Female
  • Fluorocarbons (administration & dosage)
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Ophthalmologic Surgical Procedures
  • Recurrence
  • Reoperation
  • Retinal Detachment (etiology, surgery)
  • Scleral Buckling (adverse effects)
  • Sulfur Hexafluoride (administration & dosage)
  • Visual Acuity

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