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Pneumatic retinopexy for inferior retinal breaks.

Mansour AM

Department of Ophthalmology, American University of Beirut, Beirut, Lebanon. dr.ahmad@cyberia.net.lb

PURPOSE: To introduce a pneumatic retinopexy positioning for the management of retinal detachment from inferior retinal breaks after failed scleral buckle. DESIGN: Retrospective review of interventional consecutive case series. PARTICIPANTS: Seventeen eyes of 17 patients followed up from January 1993 to February 2005. INTERVENTION: Internal tamponade was achieved by 10 degrees Trendelenburg positioning, 10 degrees neck hyperextension, 10 degrees ocular supraduction and a large intravitreal gas bubble. MAIN OUTCOME MEASURES: Visual acuity, intraocular pressure, and retinal flattening were evaluated. RESULTS: All patients tolerated the procedure. Retinal reattachment was maintained in 15 of 17 patients (88.2%) followed up for a mean of 2.8 years (range, 0.1-11.5 years). Two patients experienced redetachment after 5 days and 4 months respectively. Six patients required antiglaucoma medications during the technique. CONCLUSIONS: Graduated body-neck-eye tilt allowed retinal reattachment in most eyes with inferior retinal detachment after failed scleral buckle.

Published 3 October 2005 in Ophthalmology, 112(10): 1771-6.
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