J Korean Ophthalmol Soc.  2005 Dec;46(12):2110-2114.

Three Cases of Pneumoretinopexy for Rhegmatogenous Retinal Detachment by Multiple Retinal Tears over 1 Hour in Distance

• Cho WH
• Lee DC
• Chang MH

Abstract

PURPOSE
To determine the effects of performing pneumoretinopexy in patients without the conventional indication of pneumoretinopexy but with rhegmatogenous retinal detachment by multiple retinal tears separated over 1 hour in distance. METHODS: Three patients with rhegmatogenous retinal detachment by multiple retinal tears separated over 1 hour in distance from November 2003 to December 2003 were the subject of this study. Treatment records of the patients were examined retrospectively. In one case, when performing pneumoretinopexy, 0.5 cc of vitreous was aspirated followed by an injection of 0.8 cc SF6 gas. In the other two cases, after injecting 0.5 cc of SF6 gas, one retinal tear was adhered in the proper position. Then, sequential retinal adhesion was attempted by changing the position.
RESULTS
In all three cases, anatomical retinal adhesion was maintained, and visual acuity functionality was improved.
CONCLUSIONS
Both sequential retinal adhesion by changing the position and performing pneumoretinopexy after vitreous aspiration are successful method of retinal adhesion. Therefore, pneumoretinopexy can be used as an effective medical treatment in patients with rhegmatogenous retinal detachment by multiple retinal tears separated over 1 hour in distance.

Keyword

Multiple tears; Pneumoretinopexy; Rhegmatogenous retinal detachment; SF6 gas

MeSH Terms

Humans
Retinal Detachment*
Retinal Perforations*
Retinaldehyde*
Retrospective Studies
Visual Acuity
Retinaldehyde