[Surgical treatment of inferior retinal detachment: advantages of postoperative traction of the right inferior muscle].
OBJECTIVE
To evaluate the advantages of keeping the right inferior muscle in traction during external surgery for inferior retinal detachment.


METHODS
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
Results proved excellent, with ten anatomical successes. However, one patient had to have gas reinjected and in another subretinal fluid persisted for 3 months.


CONCLUSIONS
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.


CONCLUSIONS
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.
Mahieu
L
L
Service d'Ophtalmologie, CHU Rangueil, Toulouse.
Quintyn
J C
JC
Pagot-Mathis
V
V
Mathis
A
A
D000368:Aged; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D011182:Postoperative Care; D011446:Prospective Studies; D012163:Retinal Detachment / Q000601:surgery*; D014143:Traction