The efficacy of fluid-gas exchange for the treatment of postvitrectomy retinal detachment.
OBJECTIVE
This study was designed to evaluate the efficacy of fluid-gas exchange for the treatment of postvitrectomy retinal detachment.


METHODS
We retrospectively reviewed the records of 33 consecutive patients (35 eyes) who underwent fluid-gas exchange treatment for postvitrectomy retinal detachment using the two-needle pars plana approach technique.


RESULTS
The retinal reattachment rate was 80.0% after complete intravitreal gas disappearance following the fluid-gas exchange; the overall success rate was 65.7%. Visual acuity was improved or stable in 80.0% of cases; a two-line or greater vision improvement or a best-corrected visual acuity of 0.4 or better occurred in 62.9% of cases. The success rates for superior retinal detachments and posterior pole retinal detachments were 76.5% and 85.7%, respectively.


CONCLUSIONS
Fluid-gas exchange represents a simple and cost-effective alternative outpatient procedure for retinal reattachment without reoperation for the treatment of superior and posterior pole retinal detachments.
Jang
Ji Hye
JH
Department of Ophthalmology, Dongsan Medical Center, Keimyung University College of Medicine, #194 Dongsan-dong, Jung-gu, Daegu, Korea.
Kim
Yu Cheol
YC
Kim
Kwang Soo
KS
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage*; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D017075:Laser Coagulation / Q000379:methods; D008297:Male; D008875:Middle Aged; D009887:Ophthalmoscopy; D011182:Postoperative Care / Q000379:methods*; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D012189:Retrospective Studies; D013459:Sulfur Hexafluoride / Q000008:administration & dosage*; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects*; D014822:Vitreous Body; D055815:Young Adult
D005466:Fluorocarbons; C042852:perflutren; D013459:Sulfur Hexafluoride