The Effect of Pneumoretinopexy on the Retinal Detachment with a Macular Hole

ABSTRACT

Fourteen eyes of retinal detachment with macular hole were treated with pneumoretinopexy on the outpatient basis. Under the retnbu1bar anesthesia, 0.2ml of perfluoropropane(C3F8) gas was injected into the subretinal fluid was aspirated with the same needle through the macular hole under the careful control by indirect ophthalmoscopy with temporal lying position. Average amount of subretinal fluid aspirated was 0.35ml (O.35-1.00ml) and retinal elevations were reattached after pneumoretinopexy and three of four failed patients agreed to reoperation were reattached after scleral buckling or vitrectomy. Postoperative complications after pneumoretinopexy were transient elevation of intraocular pressure (2/14 eyes) and new break formation (3/14 eyes). We think the pneumoretinopexy is a good choice of primary procedure for the retinal detachment with a macular hole because it is a simple procedure with a relatively good results.