Skip to main content

Advertisement

SpringerLink
Log in

Pneumatic retinopexy: an update

  • Review Article
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Pneumatic retinopexy (PR) is a minimally invasive, non-incisional procedure for repairing uncomplicated rhegmatogenous retinal detachment. It consists of an intravitreal gas injection followed by the maintenance of a postoperative head position and the use of laser or cryopexy to seal the retinal breaks. It was initially indicated for a single or a group of retinal breaks no larger than 1 clock hour involving the superior 8 clock hours in phakic eyes with no proliferative vitreoretinopathy. We aim to perform a narrative review on pneumatic retinopexy since the last major review of 2008, based on a Medline search up to June 20 2021 using multiple search words including pneumatic retinopexy, pneumoretinopexy, retinal detachment, and pars plana vitrectomy. Indications for PR have been expanded and include pseudophakic eyes, eyes with mild PVR, and even breaks in the inferior fundus. Depending on the case selection, PR has a single-operation success rate ranging from 45 to 80%. Despite the lower single operation success rate, the functional outcomes of those eyes repaired successfully by primary PR exceed those of scleral buckling (SB) and pars plana vitrectomy (PPV). Best corrected visual acuity, metamorphopsia scores, mental health scores, and vision-related functioning scores were all better in PR-treated eyes compared to PPV-treated eyes. PR should be strongly considered for eligible patients with a primary uncomplicated rhegmatogenous retinal detachments.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Li JQ, Welchowski T, Schmid M, Holz FG, Finger RP (2019) Incidence of rhegmatogenous retinal detachment in Europe - a systematic review and meta-analysis. Ophthalmologica 242:81–86. https://doi.org/10.1159/000499489

    Article  PubMed  Google Scholar 

  2. Mitry D, Charteris DG, Fleck BW, Campbell H, Singh J (2010) The epidemiology of rhegmatogenous retinal detachment: geographical variation and clinical associations. Br J Ophthalmol 94:678–684. https://doi.org/10.1136/bjo.2009.157727

    Article  CAS  PubMed  Google Scholar 

  3. Gonin J (1921) Le traitement du décollement rétinien. Ann d’Ocul 158:175

    Google Scholar 

  4. Seider MI, Nomides RE, Hahn P, Mruthyunjaya P, Mahmoud TH (2016) Scleral buckling with chandelier illumination. J Ophthalmic Vis Res 11:304–309. https://doi.org/10.4103/2008-322X.188402

    Article  PubMed  PubMed Central  Google Scholar 

  5. Jackson TL, Donachie PH, Sallam A, Sparrow JM, Johnston RL (2014) United Kingdom National Ophthalmology Database study of vitreoretinal surgery: report 3, retinal detachment. Ophthalmology 121:643–648. https://doi.org/10.1016/j.ophtha.2013.07.015

    Article  PubMed  Google Scholar 

  6. Reeves MG, Pershing S, Afshar AR (2018) Choice of primary rhegmatogenous retinal detachment repair method in US commercially insured and Medicare advantage patients, 2003–2016. Am J Ophthalmol 196:82–90. https://doi.org/10.1016/j.ajo.2018.08.024

    Article  PubMed  Google Scholar 

  7. Chan CK, Lin SG, Nuthi AS, Salib DM (2008) Pneumatic retinopexy for the repair of retinal detachments: a comprehensive review (1986–2007). Surv Ophthalmol 53:443–478. https://doi.org/10.1016/j.survophthal.2008.06.008

    Article  PubMed  Google Scholar 

  8. Ohm J (1911) Über die Behandlung der Netzhautablösung durch operative Entleerung der subretinalen Flüssigkeit und Einspritzung von Luft in den Glaskörper. Albrecht von Graefes Archiv für Ophthalmologie 79:442–450

    Article  Google Scholar 

  9. Rosengren B (1938) Results of treatment of detachment of the retina with diathermy and injection of air into the vitreous. Acta Ophthalmol (Copenh) 16:573–579

    Article  Google Scholar 

  10. Dominguez A (1985) Cirugia Precoz y Ambulatoria del Desprendimiento de Retina. Arch Soc Esp Oftal 48:47–54

    Google Scholar 

  11. Hilton GF, Grizzard WS (1986) Pneumatic retinopexy. A two-step outpatient operation without conjunctival incision. Ophthalmology 93:626–641. https://doi.org/10.1016/s0161-6420(86)33696-0

    Article  CAS  PubMed  Google Scholar 

  12. Benson WE, Chan P, Sharma S, Snyder WB, Bloome MA, Birch DG (1999) Current popularity of pneumatic retinopexy. Retina 19:238–241

    CAS  PubMed  Google Scholar 

  13. Snyder WB, Bloome MA, Birch DG (1992) Pneumatic retinopexy versus scleral buckle. Preferences of Vitreous Society members, 1990. Retina 12:43–45

    Article  CAS  Google Scholar 

  14. Hwang JC (2012) Regional practice patterns for retinal detachment repair in the United States. Am J Ophthalmol 153:1125–1128. https://doi.org/10.1016/j.ajo.2011.11.034

    Article  PubMed  Google Scholar 

  15. McLaughlin MD, Hwang JC (2017) Trends in vitreoretinal procedures for Medicare beneficiaries, 2000 to 2014. Ophthalmology 124:667–673. https://doi.org/10.1016/j.ophtha.2017.01.001

    Article  PubMed  Google Scholar 

  16. Vail D, Pershing S, Reeves MG, Afshar AR (2020) The relative impact of patient, physician, and geographic factors on variation in primary rhegmatogenous retinal detachment management. Ophthalmology 127:97–106. https://doi.org/10.1016/j.ophtha.2019.04.019

    Article  PubMed  Google Scholar 

  17. Hillier RJ, Felfeli T, Juncal VR, Muni RH (2020) Re: Elhusseiny et al.: Cost analysis of pneumatic retinopexy versus Pars Plana Vitrectomy for rhegmatogenous retinal detachment (Ophthalmol Retina. 2019;3:956–961). Ophthalmol Retina 4:e3–e4. https://doi.org/10.1016/j.oret.2019.12.007

    Article  PubMed  Google Scholar 

  18. Mikhail MA, Mangioris G, Casalino G, McGimpsey S, Sharkey J, Best R, Chan WC (2017) Outcome of primary rhegmatogenous retinal detachment surgery in a tertiary referral centre in Northern Ireland - A regional study. Ulster Med J 86:15–19

    PubMed  PubMed Central  Google Scholar 

  19. Haugstad M, Moosmayer S, Bragadomicronttir R (2017) Primary rhegmatogenous retinal detachment - surgical methods and anatomical outcome. Acta Ophthalmol 95:247–251. https://doi.org/10.1111/aos.13295

    Article  PubMed  Google Scholar 

  20. Cho GE, Kim SW, Kang SW, Korean Retina S (2014) Changing trends in surgery for retinal detachment in Korea. Korean J Ophthalmol 28:451–459. https://doi.org/10.3341/kjo.2014.28.6.451

    Article  PubMed  PubMed Central  Google Scholar 

  21. Arjmand P, Murtaza F, Eshtiaghi A, Popovic MM, Kertes PJ, Eng KT (2020) Impact of the COVID-19 pandemic on characteristics of retinal detachments: the Canadian experience. Can J Ophthalmol. https://doi.org/10.1016/j.jcjo.2020.12.008

    Article  PubMed  PubMed Central  Google Scholar 

  22. Juncal VR, Bamakrid M, Jin S, Paracha Q, Ta Kim DT, Marafon SB, Francisconi CLM, Muni RH (2021) Pneumatic retinopexy in patients with primary rhegmatogenous retinal detachment meeting PIVOT trial criteria. Ophthalmol Retina 5:262–269. https://doi.org/10.1016/j.oret.2020.07.022

    Article  PubMed  Google Scholar 

  23. Emami-Naeini P, Deaner J, Ali F, Gogte P, Kaplan R, Chen KC, Nudleman E, Grewal DS, Gupta M, Wolfe JD, Klufas M, Yiu G, Academic Vitreoretinal Training Centers Study G (2019) Pneumatic Retinopexy Experience and Outcomes of Vitreoretinal Fellows in the United States: A Multicenter Study. Ophthalmol Retina 3:140–145. https://doi.org/10.1016/j.oret.2018.09.010

    Article  Google Scholar 

  24. Callaway NF, Vail D, Al-Moujahed A, Ludwig C, Ji MH, Mahajan VB, Pershing S, Moshfeghi DM (2020) Sex Differences in the Repair of Retinal Detachments in the United States. Am J Ophthalmol 219:284–294. https://doi.org/10.1016/j.ajo.2020.06.039

    Article  PubMed  Google Scholar 

  25. Yannuzzi NA, Li C, Fujino D, Kelly SP, Lum F, Flynn HW, Jr., Parke III W (2021) Clinical outcomes of rhegmatogenous retinal detachment treated with pneumatic retinopexy. JAMA Ophthalmol Published online June 17, 2021. https://doi.org/10.1001/jamaophthalmol.2021.1860

  26. Kumawat D, Sachan A (2019) Re: Hillier et al.: The pneumatic retinopexy versus vitrectomy for the management of primary rhegmatogenous retinal detachment outcomes randomized trial (PIVOT) (Ophthalmology. 2019;126:531–539). Ophthalmology 126: e84. https://doi.org/10.1016/j.ophtha.2019.05.003

  27. Goldman DR, Shah CP, Heier JS (2014) Expanded criteria for pneumatic retinopexy and potential cost savings. Ophthalmology 121:318–326. https://doi.org/10.1016/j.ophtha.2013.06.037

    Article  PubMed  Google Scholar 

  28. Hwang JF, Chen SN, Lin CJ (2011) Treatment of inferior rhegmatogenous retinal detachment by pneumatic retinopexy technique. Retina 31:257–261. https://doi.org/10.1097/IAE.0b013e3181e586f9

    Article  PubMed  Google Scholar 

  29. Alali A, Bourgault S, Hillier RJ, Muni RH, Kertes PJ (2020) Sequential pneumatic retinopexies for the treatment of primary inferior rhegmatogenous retinal detachments with inferior breaks: the double-bubble approach. Retina 40:299–302. https://doi.org/10.1097/IAE.0000000000002369

    Article  PubMed  Google Scholar 

  30. Rishi E, Rishi P, Govindarajan MV (2016) Pneumatic retinopexy for the treatment of shallow retinal detachment caused by a retinal break in the intercalary membrane of macula sparing retinochoroidal coloboma. Retin Cases Brief Rep 10:187–190. https://doi.org/10.1097/ICB.0000000000000222

    Article  PubMed  Google Scholar 

  31. Giansanti F, Giuntoli M, Mazzini C, Pieretti G, Abbruzzese G, Menchini U (2012) Pneumatic retinopexy for retinal detachment associated with choroidal coloboma. Eur J Ophthalmol 22:680–682. https://doi.org/10.5301/ejo.5000065

    Article  PubMed  Google Scholar 

  32. Modi YS, Townsend J, Epstein AE, Smiddy WE, Flynn HW Jr (2014) Pneumatic retinopexy for retinal detachment occurring after prior scleral buckle or pars plana vitrectomy. Ophthalmic Surg Lasers Imaging Retina 45:409–413. https://doi.org/10.3928/23258160-20140909-05

    Article  PubMed  Google Scholar 

  33. Petrushkin HJ, Elgohary MA, Sullivan PM (2015) Rescue pneumatic retinopexy in patients with failed primary retinal detachment surgery. Retina 35:1851–1859. https://doi.org/10.1097/IAE.0000000000000546

    Article  CAS  PubMed  Google Scholar 

  34. Bastion ML (2012) Pneumatic retinopexy for treatment of posterior pole detachment following vitreoretinal surgery for diabetic tractional retinal detachment threatening the fovea. BMJ Case Rep 2012:bcr2012006303. https://doi.org/10.1136/bcr-2012-006303

    Article  PubMed  PubMed Central  Google Scholar 

  35. Yeung L, Kokame GT, Brod RD, Lightman DA, Lai JC (2011) Pneumatic retinopexy for retinal detachment associated with severe choroidal detachment. Retina 31:87–92. https://doi.org/10.1097/IAE.0b013e3181e0974c

    Article  PubMed  Google Scholar 

  36. Stewart S, Chan W (2018) Pneumatic retinopexy: patient selection and specific factors. Clin Ophthalmol 12:493–502. https://doi.org/10.2147/OPTH.S137607

    Article  PubMed  PubMed Central  Google Scholar 

  37. Felfeli T, Mandelcorn MS, Yan P, Jeffery G, Mandelcorn ED (2017) Failed pneumatic retinopexy for rhegmatogenous retinal detachment repair in ocular albinism: clues to the role of melanin in retinal pigment epithelium pump function. Ophthalmic Surg Lasers Imaging Retina 48:1016–1020. https://doi.org/10.3928/23258160-20171130-10

    Article  PubMed  Google Scholar 

  38. Dorrepaal SJ, Gale J (2014) Using patient positioning to promote resorption of subretinal fluid in rhegmatogenous retinal detachment before pneumatic retinopexy. Retina 34:477–482. https://doi.org/10.1097/IAE.0b013e31829f73d5

    Article  PubMed  Google Scholar 

  39. Campochiaro PA, Kaden IH, Vidaurri-Leal J, Glaser BM (1985) Cryotherapy enhances intravitreal dispersion of viable retinal pigment epithelial cells. Arch Ophthalmol 103:434–436. https://doi.org/10.1001/archopht.1985.01050030130038

    Article  CAS  PubMed  Google Scholar 

  40. Muni RH, Kertes PJ (2009) Marking of retinal breaks in detached retina with laser photocoagulation before pneumatic retinopexy: a prospective case series. Retina 29:405–408. https://doi.org/10.1097/IAE.0b013e31819a6019

    Article  PubMed  Google Scholar 

  41. Yee KM, Sebag J (2011) Long-term results of office-based pneumatic retinopexy using pure air. Br J Ophthalmol 95:1728–1730. https://doi.org/10.1136/bjophthalmol-2011-300114

    Article  PubMed  Google Scholar 

  42. Sinawat S, Ratanapakorn T, Sanguansak T, Prompol S, Laopaiboon M, Yospaiboon Y (2010) Air vs perfluoropropane gas in pneumatic retinopexy: a randomized noninferiority trial. Arch Ophthalmol 128:1243–1247. https://doi.org/10.1001/archophthalmol.2010.230

    Article  PubMed  Google Scholar 

  43. Williamson TH, Guillemaut JY, Hall SK, Hutter JC, Goddard T (2018) Theoretical gas concentrations achieving 100% fill of the vitreous cavity in the postoperative period. Retina 38(Suppl 1):S60–S64. https://doi.org/10.1097/IAE.0000000000001963

    Article  PubMed  Google Scholar 

  44. Hsu J, Gerstenblith AT, London NJ, Garg SJ, Spirn MJ, Maguire JI, Park C, Sivalingam A (2014) Effect of topical aqueous suppression on intraocular gas duration after pure perfluoropropane injection in nonvitrectomized eyes with retinal detachment. Retina 34:2458–2461. https://doi.org/10.1097/IAE.0000000000000244

    Article  PubMed  Google Scholar 

  45. Muni RH, Francisconi CLM (2020) Pneumatic Retinopexy: The Steamroller Maneuver and Head Positioning. https://www.aaoorg/clinical-video/pneumatic-retinopexy-steamroller-maneuver-head-pos. Accessed 18 June 2021

  46. Gorovoy IR, Eller AW, Friberg TR, Coe R (2014) Characterization of pneumatic retinopexy failures and the pneumatic pump: a new complication of pneumatic retinopexy. Retina 34:700–704. https://doi.org/10.1097/IAE.0000000000000002

    Article  PubMed  Google Scholar 

  47. Bansal A, Lee WW, Felfeli T, Muni RH (2021) Real-time in vivo assessment of retinal reattachment in humans using swept-source optical coherence tomography. Am J Ophthalmol. https://doi.org/10.1016/j.ajo.2021.02.013

    Article  PubMed  Google Scholar 

  48. Fabian ID, Kinori M, Efrati M, Alhalel A, Desatnik H, Hai OV, Katz G, Platner E, Moisseiev J (2013) Pneumatic retinopexy for the repair of primary rhegmatogenous retinal detachment: a 10-year retrospective analysis. JAMA Ophthalmol 131:166–171. https://doi.org/10.1001/2013.jamaophthalmol.361

    Article  PubMed  Google Scholar 

  49. Gilca M, Duval R, Goodyear E, Olivier S, Cordahi G (2014) Factors associated with outcomes of pneumatic retinopexy for rhegmatogenous retinal detachments: a retrospective review of 422 cases. Retina 34:693–699. https://doi.org/10.1097/IAE.0b013e3182a2e6ee

    Article  PubMed  Google Scholar 

  50. Cohen E, Zerach A, Mimouni M, Barak A (2015) Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment. Clin Ophthalmol 9:2033–2037. https://doi.org/10.2147/OPTH.S91486

    Article  PubMed  PubMed Central  Google Scholar 

  51. Jung JJ, Cheng J, Pan JY, Brinton DA, Hoang QV (2019) Anatomic, visual, and financial outcomes for traditional and nontraditional primary pneumatic retinopexy for retinal detachment. Am J Ophthalmol 200:187–200. https://doi.org/10.1016/j.ajo.2019.01.008

    Article  PubMed  PubMed Central  Google Scholar 

  52. Hillier RJ, Felfeli T, Berger AR, Wong DT, Altomare F, Dai D, Giavedoni LR, Kertes PJ, Kohly RP, Muni RH (2019) The pneumatic retinopexy versus vitrectomy for the management of primary rhegmatogenous retinal detachment outcomes randomized trial (PIVOT). Ophthalmology 126:531–539. https://doi.org/10.1016/j.ophtha.2018.11.014

    Article  PubMed  Google Scholar 

  53. Rahat F, Nowroozzadeh MH, Rahimi M, Farvardin M, Namati AJ, Sarvestani AS, Sharifi F (2015) Pneumatic retinopexy for primary repair of rhegmatogenous retinal detachments. Retina 35:1247–1255. https://doi.org/10.1097/IAE.0000000000000434

    Article  PubMed  Google Scholar 

  54. Hazzazi MA, Al Rashaed S (2017) Outcomes of Pneumatic Retinopexy for the Management of Rhegmatogenous Retinal Detachment at a Tertiary Care Center. Middle East Afr J Ophthalmol 24:143–147. https://doi.org/10.4103/meajo.MEAJO_137_15

    Article  PubMed  PubMed Central  Google Scholar 

  55. Rootman DB, Luu S, S MC, Mandell M, Devenyi R, Lam WC, Kertes PJ, (2013) Predictors of treatment failure for pneumatic retinopexy. Can J Ophthalmol 48:549–552. https://doi.org/10.1016/j.jcjo.2013.05.002

    Article  PubMed  Google Scholar 

  56. Schaal S, Sherman MP, Barr CC, Kaplan HJ (2011) Primary retinal detachment repair: comparison of 1-year outcomes of four surgical techniques. Retina 31:1500–1504. https://doi.org/10.1097/IAE.0b013e31820d3f55

    Article  PubMed  Google Scholar 

  57. Day S, Grossman DS, Mruthyunjaya P, Sloan FA, Lee PP (2010) One-year outcomes after retinal detachment surgery among medicare beneficiaries. Am J Ophthalmol 150:338–345. https://doi.org/10.1016/j.ajo.2010.04.009

    Article  PubMed  PubMed Central  Google Scholar 

  58. Hatef E, Sena DF, Fallano KA, Crews J, Do DV (2015) Pneumatic retinopexy versus scleral buckle for repairing simple rhegmatogenous retinal detachments. Cochrane Database Syst Rev 5(5):CD008350. https://doi.org/10.1002/14651858.CD008350.pub2

    Article  Google Scholar 

  59. Davis MJ, Mudvari SS, Shott S, Rezaei KA (2011) Clinical characteristics affecting the outcome of pneumatic retinopexy. Arch Ophthalmol 129:163–166. https://doi.org/10.1001/archophthalmol.2010.352

    Article  PubMed  Google Scholar 

  60. Ellakwa AF (2012) Long term results of pneumatic retinopexy. Clin Ophthalmol 6:55–59. https://doi.org/10.2147/OPTH.S22063

    Article  PubMed  PubMed Central  Google Scholar 

  61. Dhami A, Shah KK, Ratra D (2018) Pneumatic retinopexy outcomes as primary or secondary surgical option for treating rhegmatogenous retinal detachment. Indian J Ophthalmol 66:420–425. https://doi.org/10.4103/ijo.IJO_999_17

    Article  PubMed  PubMed Central  Google Scholar 

  62. Mudvari SS, Ravage ZB, Rezaei KA (2009) Retinal detachment after primary pneumatic retinopexy. Retina 29:1474–1478. https://doi.org/10.1097/IAE.0b013e3181ae70f3

    Article  PubMed  Google Scholar 

  63. Ling J, Noori J, Safi F, Eller AW (2018) Pneumatic retinopexy for rhegmatogenous retinal detachment in pseudophakia. Semin Ophthalmol 33:198–201. https://doi.org/10.1080/08820538.2016.1190849

    Article  PubMed  Google Scholar 

  64. Gupta D, Ching J, Tornambe PE (2018) Clinically undetected retinal breaks causing retinal detachment: a review of options for management. Surv Ophthalmol 63:579–588. https://doi.org/10.1016/j.survophthal.2017.08.002

    Article  PubMed  Google Scholar 

  65. Anaya JA, Shah CP, Heier JS, Morley MG (2016) Outcomes after failed pneumatic retinopexy for retinal detachment. Ophthalmology 123:1137–1142. https://doi.org/10.1016/j.ophtha.2016.01.017

    Article  PubMed  Google Scholar 

  66. Vidne-Hay O, Abumanhal M, Elkader AA, Fogel M, Moisseiev J, Moisseiev E (2020) Outcomes of rhegmatogenous retinal detachment repair after failed pneumatic retinopexy. Retina 40:805–810. https://doi.org/10.1097/IAE.0000000000002483

    Article  PubMed  Google Scholar 

  67. Demircan A, Alkin Z, Cakir I, Kesim C, Erdogan G (2019) Comparison of pars plana vitrectomy for retinal detachment after failed pneumatic retinopexy and primary pars plana vitrectomy. J Fr Ophtalmol 42:146–152. https://doi.org/10.1016/j.jfo.2018.09.004

    Article  CAS  PubMed  Google Scholar 

  68. Gauthier AC, Adelman RA (2017) A quality of life study comparing scleral buckle and pneumatic retinopexy for the treatment of rhegmatogenous retinal detachment. Clin Ophthalmol 11:1069–1071. https://doi.org/10.2147/OPTH.S137227

    Article  PubMed  PubMed Central  Google Scholar 

  69. Muni RH, Francisconi CLM, Felfeli T, Mak MYK, Berger AR, Wong DT, Altomare F, Giavedoni LR, Kohly RP, Kertes PJ, Figueiredo N, Zuo F, Thorpe KE, Hillier RJ (2020) Vision-related functioning in patients undergoing pneumatic retinopexy vs vitrectomy for primary rhegmatogenous retinal detachment: a post hoc exploratory analysis of the PIVOT randomized clinical trial. JAMA Ophthalmol 138:826–833. https://doi.org/10.1001/jamaophthalmol.2020.2007

    Article  PubMed  PubMed Central  Google Scholar 

  70. Weng CY (2020) Vision-related function following retinal detachment repair-looking beyond the letter chart. JAMA Ophthalmol 138:833–834. https://doi.org/10.1001/jamaophthalmol.2020.2023

    Article  PubMed  Google Scholar 

  71. Shiragami C, Shiraga F, Yamaji H, Fukuda K, Takagishi M, Morita M, Kishikami T (2010) Unintentional displacement of the retina after standard vitrectomy for rhegmatogenous retinal detachment. Ophthalmology 117(86–92):e81. https://doi.org/10.1016/j.ophtha.2009.06.025

    Article  Google Scholar 

  72. Brosh K, Francisconi CLM, Qian J, Sabatino F, Juncal VR, Hillier RJ, Chaudhary V, Berger AR, Giavedoni LR, Wong DT, Altomare F, Kadhim MR, Newsom RB, Marafon SB, Muni RH (2020) Retinal displacement following pneumatic retinopexy vs pars plana vitrectomy for rhegmatogenous retinal detachment. JAMA Ophthalmol. https://doi.org/10.1001/jamaophthalmol.2020.1046

    Article  PubMed  PubMed Central  Google Scholar 

  73. Muni RH, Felfeli T, Sadda SR, Juncal VR, Francisconi CLM, Nittala MG, Lindenberg S, Gunnemann F, Berger AR, Wong DT, Altomare F, Giavedoni LR, Kohly RP, Kertes PJ, Sarraf D, Hillier RJ (2021) Postoperative photoreceptor integrity following pneumatic retinopexy vs pars plana vitrectomy for retinal detachment repair: a post hoc optical coherence tomography analysis from the pneumatic retinopexy versus vitrectomy for the management of primary rhegmatogenous retinal detachment outcomes randomized trial. JAMA Ophthalmol 139:620–627. https://doi.org/10.1001/jamaophthalmol.2021.0803

    Article  PubMed  Google Scholar 

  74. Wu L, Flikier D (2006) Corneal graft dehiscence during pneumatic retinopexy. Retina 26:707. https://doi.org/10.1097/01.iae.0000220487.69420.07

    Article  PubMed  Google Scholar 

  75. Yam JC, Liu DT, Lee VY, Lam PT, Lam DS (2008) Giant retinal tear after pneumatic retinopexy. Acta Ophthalmol 86:232–233. https://doi.org/10.1111/j.1600-0420.2007.01027.x

    Article  PubMed  Google Scholar 

  76. Sinkar SN, Simon SJ, Gilhotra JS (2012) Giant retinal tear after pneumatic retinopexy. Retin Cases Brief Rep 6:151–152. https://doi.org/10.1097/ICB.0b013e318216460a

    Article  PubMed  Google Scholar 

  77. Lee HN, Lin KH, Tsai HY, Shen YC, Wang CY, Wu R (2014) Aniseikonia following pneumatic retinopexy for rhegmatogenous retinal detachment. Am J Ophthalmol 158:1056–1061. https://doi.org/10.1016/j.ajo.2014.08.005

    Article  PubMed  Google Scholar 

  78. Elhusseiny AM, Yannuzzi NA, Smiddy WE (2019) Cost Analysis of pneumatic retinopexy versus pars plana vitrectomy for rhegmatogenous retinal detachment. Ophthalmol Retina 3:956–961. https://doi.org/10.1016/j.oret.2019.06.003

    Article  PubMed  Google Scholar 

  79. Chang JS, Smiddy WE (2014) Cost-effectiveness of retinal detachment repair. Ophthalmology 121:946–951. https://doi.org/10.1016/j.ophtha.2013.11.003

    Article  PubMed  Google Scholar 

  80. Chronopoulos A, Hattenbach LO, Schutz JS (2020) Pneumatic retinopexy: a critical reappraisal. Surv Ophthalmol. https://doi.org/10.1016/j.survophthal.2020.12.007

    Article  PubMed  Google Scholar 

  81. Yorston D (2021) Do we really need more clinical trials of pneumatic retinopexy? JAMA Ophthalmol Published online June 17, 2021. https://doi.org/10.1001/jamaophthalmol.2021.1850

Download references

Author information

Authors and Affiliations

  1. Asociados de Macula, Vitreo y Retina de Costa Rica, Primer Piso Torre Mercedes, Paseo Colón, San José, Costa Rica

    Chyong-Yng Huang, Mia Mikowski & Lihteh Wu

  2. Illinois Eye and Ear Infirmary, Department of Ophthalmology, School of Medicine, University of Illinois Chicago, Chicago, IL, USA

    Lihteh Wu

Authors
  1. Chyong-Yng Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mia Mikowski
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Lihteh Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Lihteh Wu.

Ethics declarations

Ethics approval and consent to participate

This article does not contain any studies with human participants or animals performed by any of the authors.

Conflict of interest

Lihteh Wu has received speaker honoraria from Bayer, Roche, and Quantel Medical. Mia Mikowski and Chyong-Yng Huang declare that they have no conflicts of interest.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Huang, CY., Mikowski, M. & Wu, L. Pneumatic retinopexy: an update. Graefes Arch Clin Exp Ophthalmol 260, 711–722 (2022). https://doi.org/10.1007/s00417-021-05448-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00417-021-05448-x

Keywords

Search

Navigation