Retinal detachment treated with intravitreal air: an evaluation of 241 cases.

Chawla, Hector Bryson; Coleiro, Joseph A.

doi:10.1136/bjo.61.9.588

Cited by 17 publications

(3 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other workers' results suggest this also (Chawla and Coleiro, 1977). The question arises, Why use a no.…”

Section: Discussionmentioning

confidence: 94%

The fishmouth phenomenon in retinal detachment: old concepts revisited.

Birchall¹

1979

British Journal of Ophthalmology

View full text Add to dashboard Cite

SUMMARY The 'fishmouth phenomenon' seen in some previously treated retinal detachments is associated with large horseshoe tears and scleral buckling techniques. A method of treating patients with this complication is described in which scleral buckling with implant or explant is not used. The technique utilises intravitreal air tamponade with cryopexy and gives good results. The incidence of patients developing the fishmouth phenomenon as a complication of primary simple retinal detachment surgery is much lower when an intravitreal air technique is used than the expected incidence following a primary scleral buckling operation.The objective of this paper is to describe the management of difficult large posterior horseshoe-tear retinal detachments which develop the aptly named 'fishmouth phenomenon', in which a second surgical procedure is required following a failure of scleral buckling with scleral silicone implant or explant and/or encircling silicone tape.The prognosis for reattachment of the retina in routine retinal detachment surgery for primary rhegmatogenous detachments, by different surgical techniques, is now well documented. The results from different series indicate reattachment in 90 to 95 % of patients (Kreiger et al., 1971;Chignell, 1977;and Curtin, 1976). The reduced chance of a successful first surgical procedure in more complicated detachments, for example, detachments due to macular holes (Leaver and Cleary, 1975) and in secondary detachments is also recognised.Results of operations for detachment where the primary process of detachment involves retinal lesions with large posterior tears suggest that the larger the tear the worse the prognosis (Lincoff et al., 1977). At the worst a giant tear may extend through almost 3600 and is virtually unmanageable with present surgical techniques. Difficulties are encountered in routine scleral buckling procedures with large horseshoe tears when the buckle causes the operculum of the tear to elevate as the rolled edges of the tear come closer together. This compromising effect is greater with circumferential buckles than with radial buckles. If further tightening of an encircling tape is attempted at this time, it

show abstract

“…Other workers' results suggest this also (Chawla and Coleiro, 1977). The question arises, Why use a no.…”

Section: Discussionmentioning

confidence: 94%

The fishmouth phenomenon in retinal detachment: old concepts revisited.

Birchall¹

1979

British Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…Postoperatively the patient was positioned so that the arc of contact of the gas bubble included as many of the breaks as possible, and this was maintained for [2][3][4][5][6] days. The minimum follow-up interval after surgery was six months.…”

Section: Explant Placementmentioning

confidence: 99%

D-ACE surgical sequence for selected bullous retinal detachments.

Gilbert¹,

McLeod²

1985

British Journal of Ophthalmology

View full text Add to dashboard Cite

SUMMARY Forty-five out of 50 selected retinal detachments were successfully reattached by the D-ACE surgical sequence, that is, initial drainage of subretinal fluid followed by air injection into the vitreous, transcleral cryopexy, and definitive scleral buckling. The D-ACE sequence is recommended for difficult bullous detachments as a simple, safe, and effective alternative to nondrainage techniques.

show abstract

“…The hypotonic eyeball regains its normal tension and re-attachment of the retina is pro moted due to the vitreous tamponade. Physiological saline or Ringer's solution, silicone oil, fresh or lyophilised vitreous body, sodium hyaluronate as well as gaseous substances like air, argon, krypton, octofluorobutane or sulphur-hexafluoride have been used as vitreous body substitutes [Ifruby, 1967;Lincoff et al, 1967;Klôti, 1972;Vy gant es et al, 1973;Fineberg et al, 1975;Maehetner, 1975;Kanski, 1975;Scott, 1977;Grey et al, 1977;Chawla et al, 1977], Of the liquid substances, mainly sodium hyaluronate and Ringer's solution have stood the test as physiological vitreous substitutes.…”

Section: Introductionmentioning

confidence: 99%

Partial Vitreous Substitution with Ringer’s Solution or Sodium Hyaluronate

Gnad¹

1979

Ophthalmic Res

View full text Add to dashboard Cite

Vitrectomy was performed on 48 rabbit eyes. Refilling of the vitreous cavity with Ringer’s solution or sodium hyaluronate gave biomicroscopically equivalent results. Injection of sodium hyaluronate or Ringer’s solution causes coarsening of the fibrillary vitreous structure with numerous granules along the fibres sometimes showing grape-like formations. Following injection of Ringer’s solution the fibres appear straight; after injection of sodium hyaluronate they look rather curly. 8 weeks postoperatively an incipient disintegration of the transformed vitreous structures is observed. Application of pepsin, trypsin and hyaluronidase to the altered vitreous structure yielded the same changes as in a normal vitreous body.

show abstract

Retinal detachment treated with intravitreal air: an evaluation of 241 cases.

Cited by 17 publications

References 3 publications

The fishmouth phenomenon in retinal detachment: old concepts revisited.

The fishmouth phenomenon in retinal detachment: old concepts revisited.

D-ACE surgical sequence for selected bullous retinal detachments.

Partial Vitreous Substitution with Ringer’s Solution or Sodium Hyaluronate

Contact Info

Product

Resources

About