Pneumatic retinopexy for inferior retinal breaks.
OBJECTIVE
To introduce a pneumatic retinopexy positioning for the management of retinal detachment from inferior retinal breaks after failed scleral buckle.


METHODS
Retrospective review of interventional consecutive case series.


METHODS
Seventeen eyes of 17 patients followed up from January 1993 to February 2005.


METHODS
Internal tamponade was achieved by 10 degrees Trendelenburg positioning, 10 degrees neck hyperextension, 10 degrees ocular supraduction and a large intravitreal gas bubble.


METHODS
Visual acuity, intraocular pressure, and retinal flattening were evaluated.


RESULTS
All patients tolerated the procedure. Retinal reattachment was maintained in 15 of 17 patients (88.2%) followed up for a mean of 2.8 years (range, 0.1-11.5 years). Two patients experienced redetachment after 5 days and 4 months respectively. Six patients required antiglaucoma medications during the technique.


CONCLUSIONS
Graduated body-neck-eye tilt allowed retinal reattachment in most eyes with inferior retinal detachment after failed scleral buckle.
Mansour
Ahmad M
AM
Department of Ophthalmology, American University of Beirut, Beirut, Lebanon. dr.ahmad@cyberia.net.lb
D000328:Adult; D000368:Aged; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage*; D018475:Head-Down Tilt; D006801:Humans; D007429:Intraocular Pressure; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D012008:Recurrence; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling; D013459:Sulfur Hexafluoride / Q000008:administration & dosage*; D017211:Treatment Failure; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000187:drug effects
D005466:Fluorocarbons; C042852:perflutren; D013459:Sulfur Hexafluoride