New techniques in vitreo-retinal surgery

• Book ID: 104634486
• Publisher: Springer Netherlands
• Year: 1987
• Tongue: English
• Weight: 223 KB
• Volume: 10
• Category: Article
• ISSN: 0165-5701
• DOI: 10.1007/bf00132126

✦ Synopsis

Heavy cryotreatment of the fibrous ingrowth remnants at the inner surface of the scleral wound was performed, as an adjunct to vitreoretinal microsurgery, in a series of 32 eyes affected with retinal detachment after penetrating scleral wound, Surgical success, with a follow-up of 6 to 42 months after gas disappearance, was achieved in 25 eyes (78%). However permanent retinal reattachment was achieved with a single operation in only 64% of the eyes successfully operated on (16/25). Thirty six per cent (9/25 eyes) of the retinal detachments that were eventually successfully operated on, showed clinical evidence of gradual contraction of the vitreous base in the postoperative course, and required 2 or more operations. Experimental studies on standardized models are required to determine whether destruction of the fibrous ingrowth remnants with heavy cryo is of any value in the management of retinal detachment after penetrating scleral wound.