Treatment of primary rhegmatogenous retinal detachment with modified pneumatic retinopexy

Abstract

Objective To evaluate the efficacy of modified pneumatic retinopexy for the treatment of primary rhegmatogenous retinal detachment(RRD). Methods Thirty-six eyes of 36 cases were retrospectively reviewed in this study. All patients underwent cryocoagulation combined with modified pneumatic retinopexy with gas SF6.And then the appropriate posture was selected according to in the location of the retinal tear after surgery. Patients were followed up for 6 to 24 months.Postoperative BCVA , final retinal reattachment rate and complications were analyzed. Results The retinal reattachment rate of first operation was 77.78% (28/36). Six eyes required additional scleral buckling in a second operation for the final retinal reattachment. Two eyes needed combined with vitrectomy and intravitreal injection of expending gas(C2F6). Final retinal reattachment was achieved in all 36 cases (100%). Postoperative BCVA was significantly improved(P≤0.01). Conclusion Cryocoagulation combined with intravitreal gas injection is a simple and effective surgery for primary rhegmatogenous retinal detachment. Key words: Retinal detachment, rhegmatogenous; Pneumatic retinopexy, modified; Cryocoagulation, retina