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Seo, Jang, Kim, and Chang: A Result of Pneumatic Retinopexy for Pseudophakic Retinal Detachment
Original Article

J Korean Ophthalmol Soc 2016;57(6):935-940.

Published online: 25 September 2016

DOI: https://doi.org/10.3341/jkos.2016.57.6.935

A Result of Pneumatic Retinopexy for Pseudophakic Retinal Detachment

Young Seung Seo, MD1, Jun Won Jang, MD1, Jong Min Kim, MD2, Moo Hwan Chang, MD, PhD1

1Department of Ophthalmology, Dankook University Medical College, Cheonan, Korea

2Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Address reprint requests to Moo Hwan Chang, MD, PhD Department of Ophthalmology, Dankook University Hospital, #201 Manghyang-ro, Dongnam-gu, Cheonan 31116, Korea Tel: 82-41-550-6497, Fax: 82-41-561-0137 E-mail: changmh@dankook.ac.kr

Received 25 February 2016       Revised 5 April 2016       Accepted 27 May 2016

Copyright © 2016 Korean Ophthalmological Society

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To evaluate the clinical effectiveness of pneumatic retinopexy as a treatment method for pseudophakic retinal detachment.

Methods

A retrospective chart review was conducted of medical records of 38 patients who underwent pneumatic retinopexy using SF6 gas from January 2003 to December 2011 and who were observed during a follow-up period longer than 6 months. Primary and final success rates and final visual acuity were analyzed. Primary success was defined as retinal attachment at the last visit without additional surgery. Final success was defined as retinal reattachment at the last visit regardless of additional surgery.

Results

The mean patient age was 58.47 ± 17.00 years. All retinal tears were located in the upper retina (from 8 to 4 o'clock). Preoperative mean visual acuity was 1.17 ± 1.00 log MAR, and postoperative mean visual acuity was 0.42 ± 0.48 log MAR. The primary success rate was 61%, and patients with re-detached retina underwent repeat pneumatic retinopexy or other surgery such as scleral buckling or pars plana vitrectomy. At the final visit, all of the patients demonstrated successful results.

Conclusions

Pneumatic retinopexy does not result in strabismus or refractive error, and the final success rate was 66% in our study. Therefore, pneumatic retinopexy can be considered as an effective management technique for some pseudophakic retinal detachment patients.

Keywords: Pneumatic retinopexy, Pseudophakic retinal detachment

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Figure 1.
Success rate of pneumatic retinopexy. The primary success rate was 61% and the final success rate was 100% with additional surgery as scleral buckling or pars plana vitrectomy in redetachment patients.
jkos-57-935f1.tif
Figure 2.
Causes of redetachment. Causes of Re-detachment after the pneumatic retinopexy as a primary treatment for pseudophakic retinal detachment were new tear, microhole, re-opening tear, proliferative vitreoretinopathy (PVR).
jkos-57-935f2.tif
Table 1.
Demographic and clinical data
Characteristic Data
Sex (male:female) 22:16
Age (years) 58.47 ± 17.00
Location of tear (n, %)  
 10–2 hour 35 (92.1)
 8–10 hour 2 (5.3)
 2–4 hour 1 (2.6)
Macula (n, %)  
 On 15 (39)
 Off 23 (61)
Range of retinal detachment (hours) 5.53 ± 2.90
Mean preoperative BCVA (log MAR) 1.17 ± 1.00
Mean final BCVA (log MAR) 0.42 ± 0.48
Primary success (n, %) 23 (60.5)
Additional operation (n, %)  
 Pneumoretinopexy 2 (5.3)
 Vitrectomy 4 (10.5)
 SB 7 (18.4)
 SB and vitrectomy 2 (5.3)

Values are presented as mean ± SD unless otherwise indicated.

BCVA = best corrected visual acuity; SB = scleral buckling.

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