Clinical Report of Peumatic Retinopexy.

Lee, Seoung Hyun; Kim, Kwang Soo; Oh, Jun Seup

Original Article

Journal of the Korean Ophthalmological Society 1992;33(9):827-833.
Published online September 1, 1992.

Clinical Report of Peumatic Retinopexy.

Seoung Hyun Lee, Kwang Soo Kim, Jun Seup Oh

Department of Ophthalmology, Keimyung University School of Medicine, Taegu, Korea.

Pneumatic retinopexy 의 임상보고

이승현(Seoung Hyun Lee),김광수(Kwang Soo Kim),오준섭(Jun Seup Oh)

Abstract

Pneumatic retinopexy was introduced by Hilton in 1986, and this methed is a recently described procedure used for the treatment of primary rhegmatogenous retinal detachment. A gas bubble is injected into the vitreous cavity so that the bubble closes the retinal break, permitting resorption of subretinal fluid. A chorioretinal adhesion formed around the break by cryotherapy or laser photocoagulation secures the retina in place. Indication of pneumatic retinopexy in A Two-step Outpatient Operation Without Conjuntival Incision described by Hilton in 1986 is retinal detachments secondary to one break or group of breaks no larger than 1 o'clock hour located within the superior 8 o'clock hours of the fundus. The ocular conditions of the 26 cases included in this study were proliferative vitreoretinopathy C1, C2, aphakia, multiple breaks in multiple quadrants, extensive retinal detachment more than 3 quadrants in size, pseudophakia. The overall success rate for primary pneumatic retinopexy was 73.1%(19 eyes). The greatest number of failure were due to delayed absorption of subretinal fluid (5 eyes). With subsequent procedure, 7 eyes that failed with primary pneumatic retinopexy were reattached.

Key Words: Pneumatic retinopexy;Proliferative vitreoretinopathy;Rhegmatogenous retinal detachment