Pneumatic retinopexy as supplemental therapy for persistent retinal detachment after scleral buckling operation

Levkovitch-verbin, Hanna; Treister, Giora; Moisseiev, Joseph

doi:10.1034/j.1600-0420.1998.760321.x

Cited by 13 publications

(6 citation statements)

References 10 publications

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“…When scleral buckling alone may not achieve the surgical goals additional gas tamponade may be applied to seal the retinal tears; this combined procedure has been termed pneumatic buckling. [4][5][6] Intraocular gas tamponade following scleral buckling failure can be considered an adjuvant procedure.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Combined Scleral Buckling Plus Pneumatic Retinopexy Vs. Scleral Buckling for Primary Rhegmatogenous Retinal Detachment

Weinberger

Sternfeld

Hadar-Cohen

et al. 2021

European Journal of Ophthalmology

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Purpose To evaluate the outcomes and complications of scleral buckle surgery alone or combined with pneumatic retinopexy (pneumatic buckle) for the treatment of primary rhegmatogenous retinal detachment. Design Retrospective chart review. Participants Two hundred thirteen patients with rhegmatogenous retinal detachment of whom 101 underwent primary scleral buckle surgery at Rabin Medical Center in 2005–2015 (SB group) and 112 underwent pneumatic buckle surgery at Royal Alexandra Hospital in 2013–2015 (PB group). Methods All patients were followed for ≥12 months. Data on clinical and surgical parameters, outcome, and complications were collected from the medical files. Main Outcome Measures Best corrected visual acuity and anatomical outcomes. Results At 12 months, average best corrected visual acuity was 0.3 logMar in the SB group and 0.42 logMar in the PB group ( P < 0.05). Rates of anatomical reattachment were high and similar in the two groups (99% and 97%, respectively, P = 0.623). The SB group had a higher percentage of patients requiring additional laser applications (21% vs. 7%; P < 0.01) and buckle readjustment surgery (6% vs. 0; P = 0.01), and the PB group had a higher percentage of patients who required postoperative pars plana vitrectomy (30% vs. 17%; P = 0.03). Conclusion Scleral buckle surgery alone is efficient for the treatment of rhegmatogenous retinal detachment. Its combination with pneumatic retinopexy usually has no significant added value in terms of anatomical reattachment rate. Outcomes of Pneumatic buckling vs Scleral Buckling for RRD

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Section: Discussionmentioning

confidence: 99%

Outcomes of Combined Scleral Buckling Plus Pneumatic Retinopexy Vs. Scleral Buckling for Primary Rhegmatogenous Retinal Detachment

Weinberger

Sternfeld

Hadar-Cohen

et al. 2021

European Journal of Ophthalmology

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“…Pneumatic retinopexy (PR) use as a “rescue” procedure for re-RD following SB was first reported by Edwin Boldrey, and the results of its use were seconded by several authors. [ 40 41 ]…”

Section: Management Of Recurrent Retinal Detachmentmentioning

confidence: 99%

Management of recurrent rhegmatogenous retinal detachment

Nagpal¹,

Chaudhary²,

Wachasundar³

et al. 2018

Indian J Ophthalmol

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Rhegmatogenous retinal detachment (RRD) repair is one of the most common vitreoretinal surgeries a surgeon performs. In an ideal scenario, RRD can be repaired with a single surgical intervention; however, despite excellent skill, flawless technique, and the introduction of high-end technology, up to 10% of cases require additional interventions to ultimately repair recurrent detachments. It is thus important to study the outcomes of multiple interventions to understand whether performing repeat vitrectomy on patients with a history of failed surgeries is worthwhile. Thus, recurrent retinal detachment (re-RD) remains a significant challenge for vitreoretinal surgeons as well as the patients considering the economic and the emotional burden of undergoing multiple interventions. The advent of microincision vitrectomy system, perfluorocarbon liquids, and effective intraocular tamponades has opened new doors for managing re-RDs. In this article, we have reviewed and summarized the various causes and approaches for management for optimal anatomical and functional outcomes.

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“…However, this requires a reliable and vigilant patient able to attend close follow-up visits. Levkovitch-Verbin and colleagues proposed pneumatic retinopexy as an alternative treatment; however, in their series, retinal redetachment occurred in 25% of cases [6]. Buckle revision or pars plana vitrectomy may be necessary if the retinal break is inadequately supported or if proliferative vitreoretinopathy (PVR) has ensued.…”

Section: Introductionmentioning

confidence: 96%

“…The management of persistent subretinal fluid (SRF) sparing the macula after scleral buckling procedures includes observation, supplemental pneumatic retinopexy, buckle revision, pars plana vitrectomy or demarcation laser therapy (DLT) [3,5,6,9]. In selected cases observation may be an acceptable option for patients.…”

Section: Introductionmentioning

confidence: 99%

Demarcation laser therapy in the management of macular-sparing persistent subretinal fluid after scleral buckling procedures

Wong

Lois

2005

Graefe's Arch Clin Exp Ophthalmo

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Pneumatic retinopexy as supplemental therapy for persistent retinal detachment after scleral buckling operation

Cited by 13 publications

References 10 publications

Outcomes of Combined Scleral Buckling Plus Pneumatic Retinopexy Vs. Scleral Buckling for Primary Rhegmatogenous Retinal Detachment

Outcomes of Combined Scleral Buckling Plus Pneumatic Retinopexy Vs. Scleral Buckling for Primary Rhegmatogenous Retinal Detachment

Management of recurrent rhegmatogenous retinal detachment

Demarcation laser therapy in the management of macular-sparing persistent subretinal fluid after scleral buckling procedures

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