The Management of Subretinal Gas Following Attemnted Pneumatic Retinal Reattachment

McDonald, H. Richard; Abrams, Gary W.; Irvine, Alexander R.; Sipperley, Jack O.; Boyden, B. S.; Fiore, John V.; Zegarra, Hernando

doi:10.1016/s0161-6420(87)33444-x

Cited by 45 publications

(19 citation statements)

References 8 publications

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“…No cases were recorded in this study, compared with six cases reported by McDonald et al15 Hilton et al14 indicated that any eyes with retinal breaks larger than 1 clock-hour in size are associated with an increased risk of subretinal gas after PR.…”

Section: Discussionmentioning

confidence: 46%

Long term results of pneumatic retinopexy

Ellakwa¹

2012

OPTH

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BackgroundRhegmatogenous retinal detachment is a commonly encountered retinal problem where rapid treatment can prevent irreversible vision loss. Pneumatic retinopexy (PR) is a simple, minimally invasive procedure for retinal reattachment.PurposeThis study aimed to assess the long-term anatomical and functional outcome of pneumatic retinopexy in primary rhegmatogenous retinal detachment.Patients and methodsA prospective interventional study was performed. Subjects with rhegmatogenous retinal detachment who underwent pneumatic retinopexy from May 2006 to May 2007 at Menoufiya University Hospital were included in this study with at least 3 years follow-up.ResultsA total of 40 cases were included in the study. The mean age of patients was 44.25 ± 10.85 years. Reattachment of the retina was achieved in 100% of cases. In 75% of cases, the primary intervention was successful. However, the retina redetached in 20% of these during the first 6 months, requiring reinjection or another procedure. Three years after the first intervention, follow-up measurement of the mean visual acuity of the eyes without reoperation was 0.40 ± 0.21 while the mean visual acuity of the eyes which needed additional operations was 0.22 ± 0.13.ConclusionSixty percent of the cases obtained long-term retinal reattachment with a single operation success (SOS), with good visual recovery and less morbidity than other more invasive procedures like scleral buckling or pars plana vitrectomy, translating to higher productivity for the patient. This procedure, being quicker than the alternatives, also saves the surgeon’s time, making PR a good choice for managing primary rhegmatogenous retinal detachment in developing countries.

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Section: Discussionmentioning

confidence: 46%

Long term results of pneumatic retinopexy

Ellakwa¹

2012

OPTH

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“…In 1986 Hilton and Grizzard introduced the tenu 'Pneumatic retinopexy' and described the technique of gas injection and cryopexy or laser photo-coagulation for repairing retinal detachment [2], Since then this procedure has been practised by many workers in the West [3][4][5][6]. In India very little work has been done in the last few years…”

Section: Discussionmentioning

confidence: 99%

Pneumatic Retinopexy in Rhegmatogenous Retinal Detachment

Gupta

Deshpande

Bharadwaj

et al. 1997

Medical Journal Armed Forces India

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Existing surgical modes for retinal detachmcnt are elaborate and extremely complex. We have treated 20 cases of rhegmatogenous retinal detachment with pneumatic retinopexy which is less time consuming and does not require hospitalization. After pneumatic retinopexy reattachment of retina was achieved in 15 (75%) eyes, in 2 eyes retinal reattachment was achieved after repeating intravitrea! injection of sulphur hexafluoride gas. Remaining 3 eyes were secondarily treated with scleral buckle surgery. One case needed vitreoretinal surgery. In pneumatic retinopexy there is minimum tissue handling and functional results arc good. MJAFI1997; 53: 255-258

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“…One failure was due to the movement of gas under the retina through the break. This is a known complication of pneumatic retinopexy (McDonald et al 1987). Factors responsible for this complication are multiple gas bubbles (fish eggs) and a very large retinal break.…”

Section: Discussionmentioning

confidence: 99%

PaCE: a technique to avoid subretinal fluid drainage in retinal detachment surgery

Saeed

Ganeshalingham

McHugh

2005

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: Subretinal fluid (SRF) drainage and thus the potential complications of this procedure during scleral buckling can be avoided by inducing SRF absorption preoperatively. The technique described in this series is named PaCE (Pneumatic Cryo Explant). Methods: A total of 22 eyes of 22 patients with primary bullous rhegmatogenous retinal detachment (RRD) were included in this prospective non-comparative case trial. All satisfied specific inclusion criteria similar to those used in previous pneumatic retinopexy (PR) studies. Under direct visualization, 0.3 ml C3F8 100% was injected into the vitreous cavity through the pars plana. Postoperative posturing was encouraged. Retinopexy with either cryotherapy or laser was performed, combined with scleral buckling (SB) when the SRF was absorbed. Avoidance of SRF drainage and persistent reattachment of the retina at the end of the 12-month follow-up was considered a successful outcome. A change in vision by one line (logMAR) was considered significant. Results: Resolution of SRF before retinopexy and the SB procedure was achieved in 20 of 22 eyes (90.9%) and hence SRF drainage was not required. Visual improvement was achieved in 95% of cases. One eye (4.5%) lost vision due to a total RD after gas injection (further surgery was not carried out). Conclusion: PaCE should be considered in any suitable case of primary RRD where SRF drainage is deemed necessary. The potential complications associated with this procedure are relatively less serious and it does not compromise the viability of subsequent procedures.

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The Management of Subretinal Gas Following Attemnted Pneumatic Retinal Reattachment

Cited by 45 publications

References 8 publications

Long term results of pneumatic retinopexy

Long term results of pneumatic retinopexy

Pneumatic Retinopexy in Rhegmatogenous Retinal Detachment

PaCE: a technique to avoid subretinal fluid drainage in retinal detachment surgery

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