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Pneumatic RetinopexySurgical Results
Marc A. Lowe, MD;
H. Richard McDonald, MD;
Randy V. Campo, MD;
David S. Boyer, MD;
Howard Schatz, MD
Arch Ophthalmol. 1988;106(12):1672-1676.
Abstract
• We reviewed 55 consecutive cases of rhegmatogenous retinal detachment treated with pneumatic retinopexy. Eyes with inferior retinal breaks from the 4- to 8-o'clock positions or macular holes with retinal detachment were excluded. Forty-five eyes (82%) were reattached with one operation. Although ten operations failed, nine retinas were subsequently reattached surgically, a 98% overall reattachment rate. Thirty-three (92%) of 36 phakic eyes, eight (66%) of 12 pseudophakic eyes, and four (57%) of seven aphakic retinas were reattached with one operation. In macula-off cases, phakic patients tended to have greater improvement in visual acuity. New breaks occurred in six eyes (11%), five (83%) of which were pseudophakic or aphakic. The safety, efficacy, and indications for pneumatic retinopexy remain to be established by a randomized, controlled, prospective study.
Author Affiliations
From the Departments of Ophthalmology, Pacific Presbyterian Medical Center (Dr Lowe) and University of California Medical Center (Drs McDonald and Schatz), San Francisco; St Luke's Hospital and Medical Center, Phoenix (Dr Campo); and Good Samaritan Hospital, Los Angeles (Dr Boyer).
Footnotes
Accepted for publication June 27, 1988.
Reprint requests to One Daniel Burnham Court, #210, San Francisco, CA 94109 (Dr McDonald).
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