Nine eyes suffering from retinal detachment with giant tear were treated successfully by pneumatic retinopexy, followed by conventional buckling procedures and cryopexy. The retina in six of the nine eyes reattached after initial operation, whereas two required additional injection of SF6 gas. The remaining eye, having developed low-grade proliferative vitreoretinopathy (PVR C1), was treated successfully with vitrectomy. Visual outcome was rather poor immediately after the procedures due to vitreous opacity caused by gas injection. However, all cases showed excellent visual acuity five months after surgery. Visual field examined in six cases after surgery showed no significant constriction. If the retinal flap is mobile, pneumatic retinopexy may be effective in treating retinal detachment with giant tear.
CibisP.A., BeckerB., OkunE., CanaanS.The use of liquid silicone in retinal detachment surgery.Arch Ophthalmol1962; 68: 590–9.
2.
LeaverP.K., BillingtonB.M.Vitrectomy and fluid/siliconeoil exchange for giant retinal tear: 5 years follow-up.Graefe's Arch Clin Exp Ophthalmol1989; 227: 323–7.
3.
SchepensC.L., FreemanH.M.Current management of giant retinal breaks.Trans Am Acad Ophthalmol Otolaryngol1967; 71: 474–87.
4.
NortonE.W.D., AabergT., FungW., CurtinV.T.Giant retinal tears. I. Clinical management with intravitreal air.Am J Ophthalmol1969; 68: 1011–21.
5.
UsuiM., HamazakiS., TakanoS., MatsuoH.A new surgical technique for the treatment of giant tear. Transvitreoretinal fixation.Jpn J Ophthalmol1979; 23: 206–15.
6.
HiroseT., SchepensC.L., LopansriC.Subtotal open-sky vitrectomy for severe retinal detachment occurring as a late complications of ocular trauma.Ophthalmology1981; 88: 1–9.
7.
FedermanJ.L., ShakinJ.L., LanningK.C.The microsurgical management of giant retinal tears with trans-scleral retinal sutures.Ophthalmology1982; 89: 832–9.
AndoF., KondoJ.A plastic tack for the treatment of retinal detachment with giant tear.Am J Ophthalmol1983; 95: 260–1.
10.
AbramsG.W., WilliamsG.A., NeuwirthJ., McDonaldH.R.Clinical results of Titanium retinal tacks with pneumatic insertion.Am J Ophthalmol1986; 102: 13–9.
11.
ChangS., LincoffH., ZimmermanN.J., FuchsW.Giant retinal tears. Surgical techniques and results using perfluorocarbon liquids.Arch Ophthalmol1989; 107: 761–6.
12.
GonversM.Temporary use of intraocular silicone oil in the treatment of detachment with massive periretinal proliferation. Preliminary report.Ophthalmologica1982; 184: 210–8.
13.
AndoF.Usefulness and limit of silicone in management of complicated retinal detachment.Jpn J Ophthalmol1987; 31: 138–46.
14.
MachemerR., AllenA.W.Retinal tear 180° and greater. Management with vitrectomy and intravitreal gas.Arch Ophthalmol1976; 94: 1340–6.
15.
MachemerR., AabergT.M., FreemanH.M.. An updated classification of retinal detachment with proliferative vitreoretinopathy.Am J Ophthalmol1991; 112: 159–65.
16.
WessingA., SpitznasM., PalomarA.Management of retinal detachments due to giant tears.Graefe's Arch Clin Exp Ophthalmol1974; 192: 277–84.
17.
HollandP.M., SmithT.R.Broad scleral buckling in the management of retinal detachments with giant tears.Am J Ophthalmol1977; 83: 518–25.
18.
DominguezD.A.Cirugia precoz y ambulatoria del desprendimiento de retina.Arch Soc Esp Oftal1985; 48: 47–54.
19.
HiltonG.F., GrizzardW.S.Pneumatic retinopexy. A two-step outpatient operation without conjuctival incision.Ophthalmology1986; 93: 626–41.
20.
AndoF., MiyakawaN., InagakiY., KobayashiK., KohraT.Re-evaluation of the treatment of retinal detachment with gas tamponade. (2) Postoperative visual acuity.Jpn Rev Clin Ophthalmol1988; 82: 644–7.
21.
KreissigI., LincoffH., StanowskyA.The treatment of giant tear detachments using retrohyaloidal perfluorocarbon gases without drainage or vitrectomy.Graefe's Arch Clin Exp Ophthalmol1987; 225: 94–8.
22.
OkuboA., OkuboY., OharaK., ShimizuH.Vitreous as tamponade in healing of rhematogenous retinal detachment.Jpn J Ophthalmol1990; 34: 36–43.
