COMBINED SCLERAL BUCKLING AND INTRAVITREAL PLASMIN INJECTION: A New Surgical Technique.
OBJECTIVE
To report a new surgical technique for repair of rhegmatogenous retinal detachments in children.


METHODS
This study is an interventional case series. Combined scleral buckling and enzymatic vitrectomy by autologous plasmin was performed in three patients who presented with rhegmatogenous retinal detachment. Anatomic and functional outcomes as well as surgical complications were recorded.


RESULTS
Following combined surgery, all patients achieved retinal reattachment. Two patients had recordable and improved vision. None of the patients developed surgical complications after at least 21 months of follow-up.


CONCLUSIONS
Combined scleral buckling and enzymatic vitrectomy achieves retinal reattachment and functional improvement in selected pediatric patients with rhegmatogenous retinal detachment who require scleral buckling and vitrectomy.
From *Associated Retinal Consultants, PC, Royal Oak; †Department of Ophthalmology, Chang Gung Memorial Hospital, Taoyuan; ‡Chang Gung University College of Medicine, Taoyuan, Taiwan; §William Beaumont Hospital, Royal Oak, Michigan; ¶Oakland University, Eye Research Institute, Rochester, Minnesota.
Wei-Chi
WC
Wu
Kimberly A
KA
Drenser
Michael T
MT
Trese