Krypton laser photocoagulation using indirect ophthalmoscopy combined with improved encircling scleral buckles in the treatment of retinal detachment

Abstract

Objective To assess the clinical result of the krypton laser photocoagulation using indirect ophthalmoscopy combined with improved encircling scleral buckles.Methods Forty-one eyes of 41 patients were treated with encircling scleral buckles and drainage, some combined with intravitreal injection of gas or balanced salt solution (BSS).All of the retinal breaks were treated with krypton laser photocoagulation using indirect ophthalmoscopy after surgery.Results The visual acuity improved (P<0.05).The reattachment of the retina: 36 eyes were successfully repaired, 5 eyes became recurrent retinal detachment (the reattachment rate was 88.37%).Among the 5 cases, 4 patients were successfully treated with vitrectomy except one patient of traumatic retinal detachment was given up.Conclusions The treatment of retinal detachment should follow the principles of simple surgical methods and fewer complications.The krypton laser photocoagulation using indirect ophthalmoscopy combined with improved encircling scleral buckles in the treatment of retinal detachment in proper cases is a safe, simple and convenient, easy operated and effective method. Key words: Rhegmatogenous retinal detachment; Krypton laser photocoagulation using indirect ophthalmoscopy; Encircling scleral buckles