Pneumatic retinopexy

Scleral buckling has been the most popular operation for reattachment in the last three decades. Although very successful in reattaching the retina, scleral bukling is not without complications, we have used intravitreal air injection in conjunction with transconjunctival cryotherapy or postoperative laser photocoagulation and postoperative positioning to treat 10 cases of selected retinal detachments. The retina was reattached in all the the 10 cases with no noticveable complication. This report suggests that pneumatic retinopexy is an effective, safe, and easy alternative to scleral bucking treating selected cases of uncomplicated retinal detachments

Vitreous and retina - the use of silicone oil in advanced cases of proliferative vitreoretinopathy

The use of silicone oil in the management of intractable cases of proliferative vitreoretinopathy is increasing. In this preliminary report the authors describe the surgical techniques involving silicone oil, as well as the avoidance and management of associated intraoperative complications. The results of 19 cases followed for a minimum of 6 months are evaluated

Experimental transvitreal retinopexy with cyanoacrylate tissue adhesive

We have developed an experimental model of rhegmatogenous retinal detachment during vitreous surgery with intraoperative repair by fluid-gas exchange. Special instrumentation was developed to allow the transvitreal application of n-buty 1-2-cyanoacrylate mixed with iophendylate to the retinal break. The chorioretinal adhesions produced with this tissue adhesive were compared in the same model to those produced by transscleral retinal cryopexy. The chorioretinal adhesions produced by the cyanoacrylate tissue adhesive were immediate in onset, stronger than cryopexy and longlasting in effect

Choroidal osteoma

A 22 years-old white male had bilateral choroidal osteoma The clinical diagnosis of the choroidal lesion was confirmed by B-scan ultrasonography and computed tomography. The patient was followed up for 2 years and did not show any essential change of the fundus