Abstract
We describe the results of a consecutive series of 97 cases of bullous superior retinal detachment treated by conventional surgery. The retinal detachments were characterized by either a single retinal break or multiple retinal breaks confined within 1 clock hour and no proliferative vitreoretinopathy. The surgery involved sequential drainage of subretinal fluid, injection of air, cryotherapy and the application of local explant. All cases would otherwise be suitable for pneumatic retinopexy. The anatomical success rate was 85.5% with a single operation and 97% with further procedures. We report on the complications encountered and appraise the advantages and disadvantages of this operation. Forty-five of the 97 cases had detachment of the macula for less than 2 weeks, and 35 of the 45 (80%) achieved a visual acuity of 6/18 or better. These visual results challenge the assertion that better visual outcome might be attained with pneumatic retinopexy.
Similar content being viewed by others
References
Chignell AH (1974) Retinal detachment surgerywithoutdtrainage of subretinal fluid. Am J Ophthalmol 77:1–5
Eckardt C (1987) Staphylococcus epidermidis endophthalmitis after pneumatic retinopexy [letter]. Am J Ophthalmol 103:720–721
Freeman WR, Lipson BK, Morgan CM, Liggett PE (1988) New posteriorly located retinal breaks after pneumatic retinopexy. Ophthalmology 95:14–18
Gilbert C, McLeod D (1985) D-ACE surgical sequence for selected bullous retinal detachments. Br J Ophthalmol 69:733–736
Hilton GF, Grizzard WS (1986) Pneumatic retinopexy: a two-step outpatient operation without conjunctival incision. Ophthalmology 93:626–641
Hilton FG, Kelly NE, et al (1987) Pneumatic retinopexy; a collaborative report on the first 100 cases. Ophthalmology 94:307–312
Lincoff HA, Kreissig I (1972) The treatment of retinal detachment without drainage of subretinal fluid. Trans Am Acad Ophthalmol Otolaryngol 76:1221–1233
Little BC, Inglesby DV, Wong D, Chignell AH (1990) Results and complications of conventional repair of bullous retinal detachment using posterior segment air injection. Eye 4:222–225
McAllister IL, Zegarra H, Meyers SM, Cutman FA (1987) Treatment of retinal detachments with multiple breaks by pneumatic retinopexy. Arch Ophthalmol 105:913–916
Poliner LS, Grand MG, Schoch LH, et al. (1987) New retinal detachment after pneumatic retinopexy. Ophthalmology 94:315–318
Stanford MR, Chignell AH (1985) Surgical treatment of superior bullous rhegmatogenous retinal detachments. Br J Ophthalmol 69:729–732
Tornambe PE, Hilton GF (1989) The retinal detachment study group. A multicenter randomized controlled clinical trial comparing pneumatic retinopexy with scleral buckling. Ophthalmology 96:772–783
Yeo JH, Vidaurri-Zeal J, Glaser BM (1986) Extension of retinal detachments as a complication of pneumatic retinopexy. Arch Ophthalmol 104:1161–1163
Author information
Authors and Affiliations
Additional information
Offprint requests to: D. Wong
Rights and permissions
About this article
Cite this article
Wong, D., Chignell, A.H., Inglesby, D.V. et al. The treatment of bullous rhegmatogenous retinal detachment. Graefe's Arch Clin Exp Ophthalmol 230, 218–220 (1992). https://doi.org/10.1007/BF00176291
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00176291