V S Gurunadh1, A Banarji2, T S Ahluwalia3, A K Upadhyay4, S Patyal1, M Bhadauria5. 1. Reader (Department of Ophthalmology), AFMC, Pune 40. 2. Professor & Head (Department of Ophthalmology), AFMC, Pune 40. 3. Senior Advisor (Ophthalmology), Command Hospital (NC), C/o 56 APO. 4. Senior Advisor (Ophthalmology & Anterior Segment Microsurgery), AFCME, New Delhi. 5. Assoc Prof (Department of Ophthalmology), AFMC, Pune 40.
Abstract
BACKGROUND: Chronic rhegmatogenous retinal detachment behaves like proliferative vitreo-retinopathy (PVR) even without evidence of the same. Surgery could be done either with conventional buckling procedures where the extent of buckling is determined by the number and location of the breaks or by primary vitreous surgery. In this study these cases were managed with primary 360°encircling broad buckle without a vitreous procedure. METHODS: 210 eyes, with rhegmatogenous retinal detachment of more than six months duration and with PVR up to C3 (CP3 focal) were subjected to buckling surgery. Trans-scleral cryopexy of the breaks, 360°encircling buckle with a 276 - 279 tire and subretinal fluid drainage was performed. RESULT: Most (85.74%) of the eyes showed anatomical retinal re-attachment. CONCLUSION: Primary broad encircling buckling can be conducted successfully in cases of long standing retinal detachment.
BACKGROUND: Chronic rhegmatogenous retinal detachment behaves like proliferative vitreo-retinopathy (PVR) even without evidence of the same. Surgery could be done either with conventional buckling procedures where the extent of buckling is determined by the number and location of the breaks or by primary vitreous surgery. In this study these cases were managed with primary 360°encircling broad buckle without a vitreous procedure. METHODS: 210 eyes, with rhegmatogenous retinal detachment of more than six months duration and with PVR up to C3 (CP3 focal) were subjected to buckling surgery. Trans-scleral cryopexy of the breaks, 360°encircling buckle with a 276 - 279 tire and subretinal fluid drainage was performed. RESULT: Most (85.74%) of the eyes showed anatomical retinal re-attachment. CONCLUSION: Primary broad encircling buckling can be conducted successfully in cases of long standing retinal detachment.
Authors: Eric D Weichel; Adam Martidis; Mitchell S Fineman; J Arch McNamara; Carl H Park; James F Vander; Allen C Ho; Gary C Brown Journal: Ophthalmology Date: 2006-11 Impact factor: 12.079