First Author: G.Yilmaz TURKEY
Co Author(s): M. Aksoy E. Pinarci I. Akkoyun
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To report the management and the results of retinal detachment with big tears by pneumatic retinopexy
In this observational retrospective study, 15 patients with retinal detachment were treated by pneumatic retinopexy. Big tears was categorized as the tears greater than a clock hour.
All eyes had preoperative ocular examinations including visual acuity and intraocular pressure, slit lamp exam and indirect ophthalmoscopy. First laser photocoagulation was applied to the attached areas, then 0.5 ml of 100% sulfur hexafluoride (SF6) was injected. As the remainder of the retina attached, laser photocoagulation was applied around the tear and to the attached retina. Finally peripheral laser photocoagulation was completed to 360 degrees between the posterior insertion of the vitreus base and the ora serrata. On the first day, all eyes were examined for vitreus haemorrhage, endophtalmitis, subretinal gas and proliferative vitreoretinopathy development.
Anatomic reattachment was achieved in thirteen of fifteen eyes (86%) but two of fifteen eyes (14%) required additional PPV for complete reattachment. No glaucoma, vitreous haemorrhage or endophtalmitis were seen after the treatment. Mean patient age was 63 years.
In conclusion pneumatic retinopexy may be the first line treatment even in retinal detachments due to big tears in select cases.