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Primary Retinal Detachment

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130<br />

Choroidals<br />

In 4 of the 1,462 detachments, a postoperative choroidal effusion<br />

developed. These four eyes were highly myopic. Choroidals were<br />

the cause of primary failure and final failure in 0.3%. This is less<br />

than the reported 2% to 8.6% after cerclage with drainage [10].<br />

Complications<br />

Intraocular<br />

Minimal extraocular surgery is performed without drainage of subretinal<br />

fluid. As a result, the intraocular complications of drainage,<br />

such as hemorrhage, intraocular infection, incarceration of retina<br />

or vitreous, do not occur. In addition, the need for a subsequent<br />

intraocular injection of gas or saline to restore intraocular pressure<br />

with its complications is also eliminated.<br />

Secondary glaucoma, cataract, or anterior ischemia did not<br />

occur, and because the procedure was extraocular, there were no<br />

iatrogenic breaks. Intraocular complications from cryopexy did<br />

not occur,because all applications were monitored by indirect ophthalmoscopy<br />

for a medium lesion (first appearance of white in the<br />

retina) [43]. There was a rare choroidal in highly myopic eyes.<br />

Extraocular<br />

6 Minimal Segmental Buckling With Sponges and Balloons<br />

The extraocular complications that might occur with minimal segmental<br />

buckling without drainage are reversible. After using the<br />

Lincoff sponge-2 in 210 eyes (series 2 to 4), one sponge (

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