Ambulatory binocular occlusion.
OBJECTIVE
To show the efficacy of ambulatory binocular occlusion in the management of vitreous hemorrhage and rhegmatogenous retinal detachment.


METHODS
Nine eyes with a vitreous hemorrhage, rhegmatogenous retinal detachment, or both were managed initially by ambulatory binocular occlusion before the definitive treatment of the underlying cause was carried out.


RESULTS
In four eyes with a vitreous hemorrhage of rhegmatogenous origin, binocular occlusion resulted in sufficient clearing of the media to allow visualization and treatment of the breaks. In another four eyes with a rhegmatogenous detachment, binocular occlusion reduced the extent of the detachment and made possible a less morbid solution than initially planned. In one eye with a vitreous hemorrhage of diabetic origin, binocular occlusion enabled panretinal photocoagulation.


CONCLUSIONS
The benefit of binocular occlusion can be obtained on an outpatient regimen that permits moderate ambulation.
Lincoff
Harvey
H
Department of Ophthalmology, The New York Presbyterian Hospital, Weill Medical College of Cornell University, New York, New York 10021, USA. mcaulfie@med.cornell.edu
Stopa
Marcin
M
Kreissig
Ingrid
I
D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D001510:Bed Rest; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009779:Occlusive Dressings; D011300:Preoperative Care; D012163:Retinal Detachment / Q000209:etiology* / Q000601:surgery / Q000628:therapy*; D012167:Retinal Perforations / Q000150:complications*; D014823:Vitreous Hemorrhage / Q000601:surgery / Q000628:therapy*