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Pneumatic retinopexy: patient selection and specific factors

Authors Stewart S, Chan W

Received 27 October 2017

Accepted for publication 10 January 2018

Published 16 March 2018 Volume 2018:12 Pages 493—502

DOI https://doi.org/10.2147/OPTH.S137607

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Justinn Cochran

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Stephen Stewart, Wing Chan

Department of Ophthalmology, Royal Victoria Hospital, Belfast, UK

Abstract: Pneumatic retinopexy is a minimally invasive, non-incisional procedure for repairing retinal detachment. This procedure is associated with reduced morbidity, reduced cost and faster postoperative recovery compared to pars plana vitrectomy and scleral buckling. Superior visual acuity outcomes have also been reported. Intraoperative complications are primarily related to the intraocular pressure rise caused by gas injection, or the misdirection of the gas. There is a low rate of postoperative complications. Anatomic success rates of over 90% can be achieved when strict selection criteria are applied. However, a number of studies have revealed good outcomes in cases with expanded clinical indications. Pneumatic retinopexy is currently underutilized. With appropriate patient selection, a high success rate can be achieved, and therefore, this procedure has an important role in the armamentarium of the vitreoretinal surgeon.

Keywords: retina, vitreoretinal surgery, retinal detachment

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