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J.S. Sarkar, N.E. Gross, J.C. Paccione, K.J. Wald, B.Z. Cohen; Incisionless Retinal Detachment Repair to Avoid Complications of Scleral Buckle . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5491.
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Purpose: Frequent complications of routine scleral buckle surgery include pain, refractive error and diplopia. We are reporting the reduction of the above complications by using 25–gauze vitrectomy with no scleral buckle for reattachment of rhegmatogenous retinal detachment. Methods: Twenty eyes, with complete retinal detachment occurring from retinal breaks in 5 to 7o’clock region, were selected to undergo the modified procedure. The procedure involved a 25–gauze core vitrectomy, cutting of the retinal tear flap using the vitrectomy probe followed by activated suction to drain the sub retinal fluid and finally endo laser of the break (and any other existing lattice) and installation of 16% C3F8. No scleral buckle was used. Results: The retina of all of twenty eyes remained attached after the procedure and post operative follow up period of 3 months. Patients had minimal post operative pain and no diplopia. Refractive error usually occurring after scleral buckle was avoided in all the eyes. Proliferative vitreo–retinopathy (PVR) was minimal Conclusions: 25–gauze vitrectomy with no scleral buckle for reattachment of rhegmatogenous retinal detachment avoids the usual complications of routine scleral buckle surgery.
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