Pneumatic Retinopexy for Rhegmatogenous Retinal Detachment
摘要
Purpose: The purpose of this study is to describe the surgical outcomes of treating primary rhegmatogenous retinal detachment (RRD) with pneumatic retinopexy as treatment of choice, and to assess frequency of postoperative redetachment. Setting: We conducted a hospital-based retrospective, noncomparative case series study at the Department of Ophthalmology, Zhongxing Branch, Taipei City Hospital, Taiwan. Methods: We included all cases of RRD in which breaks were superior (between clock hours 8 and 4), and not exceeding 2 clock hours in extent. Longstanding RRD, evidence of proliferative vitreoretinopathy (PVR) or inferior breaks, and cases unable to keep appropriate postoperative posture were excluded. Single-operation success was defined as successful retinal attachment following the first attempt at pneumatic retinopexy (PR). Final success was defined as successful attachment, either after single-operation success or after an additional operation. Results: Of 60 cases of retinal detachment, 5 cases (8.3%) of superior RRD undergoing PR were enrolled between January 2003 and August 2005. Two subjects were female (40%) and 3 were male (60%). The mean age was 44.2±18.1 years. Every case was followed up for 6 months or more. The mean follow-up interval was 90.2 39.0 weeks. The single-operation success rate was 60%, and the final success rate was 100% during our follow up. There were no adverse effects or major postoperative complications noted throughout our follow-up period. Conclusions: In our study, pneumatic retinopexy was found to be a useful and safe procedure for superior rhegmatogenous retinal detachment surgery in carefully selected cases.