Treatment of retinal detachments with multiple breaks by pneumatic retinopexy
I. L. McAllister, H. Zegarra, S. M. Meyers and F. A. Gutman
Pneumatic retinopexy is a recent innovation in the treatment of
uncomplicated retinal detachments due to a superior retinal break extending
for 30 degrees or less. We describe four patients with retinal detachments
involving multiple breaks who were successfully treated by a modification
of this technique. One case involved a calculation of the size of the gas
bubble required to achieve tamponade of both breaks simultaneously. The gas
was then administered in two sequential injections, as the volume was too
large to be given in a single dose. In the remaining three cases, the gas
bubble was rotated from the position of tamponade for one break into a
position where tamponade of the second break or groups of breaks was
achieved.
