Primary Retinal Detachment
Primary Retinal Detachment
Primary Retinal Detachment
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Anatomical Results 127<br />
surgery. The temporary balloon buckle was deflated and removed<br />
after 1 week.<br />
Anatomical Results<br />
Since subretinal fluid was not drained, complete disappearance of<br />
fluid in some eyes could take several days. Consequently, when applying<br />
minimal segmental buckling without drainage, one has to<br />
be able to differentiate between delayed absorption of subretinal<br />
fluid, residual tractional detachment, and surgical failure to avoid<br />
unnecessary reoperations.<br />
The results after segmental sponges without drainage, applied<br />
in the first four series, were as follows: in the first series primary<br />
attachment was achieved in 672 eyes (89%),in the second in 99 eyes<br />
(93%), in the third in 35 eyes (100%), and in the fourth series in<br />
65 eyes (96%). In the fifth series of 500 detachments treated with<br />
the temporary balloon buckle, the retina was attached and remained<br />
attached after removal of the balloon in 454 eyes or in 91%<br />
(Table 6.2).<br />
Thus, after minimal segmental buckling, limited to the area of<br />
the break(s) and without drainage of subretinal fluid of 1,462<br />
Table 6.2. <strong>Primary</strong> attachment after minimal segmental buckling (sponges<br />
or balloons) without drainage of 1,462 retinal detachments<br />
Series <strong>Detachment</strong> <strong>Primary</strong> attachment<br />
First [21, 39] 752 672 (89%)<br />
Second [26, 40] 107 99 (93%)<br />
Third [41] 35 35 (100%)<br />
Fourth [42] 68 65 (96%)<br />
Fifth [37] a 500 454 (91%)<br />
Total 1,462 1,325 (91%)<br />
a Treated with balloon, attachment sustained after removal of balloon