Pneumatic retinopexy. Surgical results.
We reviewed 55 consecutive cases of rhegmatogenous retinal detachment treated with pneumatic retinopexy. Eyes with inferior retinal breaks from the 4- to 8-o'clock positions or macular holes with retinal detachment were excluded. Forty-five eyes (82%) were reattached with one operation. Although ten operations failed, nine retinas were subsequently reattached surgically, a 98% overall reattachment rate. Thirty-three (92%) of 36 phakic eyes, eight (66%) of 12 pseudophakic eyes, and four (57%) of seven aphakic retinas were reattached with one operation. In macula-off cases, phakic patients tended to have greater improvement in visual acuity. New breaks occurred in six eyes (11%), five (83%) of which were pseudophakic or aphakic. The safety, efficacy, and indications for pneumatic retinopexy remain to be established by a randomized, controlled, prospective study.
Lowe
M A
MA
Department of Ophthalmology, Pacific Presbyterian Medical Center, San Francisco, CA.
McDonald
H R
HR
Campo
R V
RV
Boyer
D S
DS
Schatz
H
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001035:Aphakia / Q000601:surgery; D003452:Cryosurgery; D005260:Female; D005500:Follow-Up Studies; D005740:Gases / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011184:Postoperative Period; D012086:Reoperation; D012163:Retinal Detachment / Q000601:surgery*; D012167:Retinal Perforations / Q000601:surgery; D014785:Vision, Ocular
D005740:Gases