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L.P. Chong; Painless Minimally Invasive Technique (25 Gauge Vitrectomy Without Scleral Buckle) for the Repair of Acute Retinal Detachment . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5495.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To determine the efficacy of a painless minimally invasive technique for the repair of acute rhegmatogenous retinal detachment. Methods: Retrospective review of 15 consecutive cases of rhegmatogenous retinal detachment repair. Nine eyes of nine patients had posterior chamber intraocular lenses (one corneal graft and one failed pneumatic retinopexy.) Six eyes of six patients were phakic. Technique: 25 gauge vitrectomy, cryoretinopexy and/or endolaser. Air, SF6, C3F8 gas tampanade. No scleral buckle. Results: Overall five eyes (33.3%) were successfully repaired with one procedure. Three of eight (37.5%) pseudophakic and two of six (33.3%) phakic eyes were successfully repaired with one procedure. Air tamponade was used in five of the nine (55.5%) pseudophakic and in five of the six (83.3%) phakic eyes. Conclusions:Only one third of retinal detachments repaired with a painless minimally invasive technique were successfully reattached without supplemental procedures. The use of short term tamponade may contribute to failure.
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