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Lincoff temporary balloon buckle in retinal detachment surgery.
1Department of Ophthalmology, Medical Faculty, University of Ondokuz Mayis, Samsun, Turkey.
European Journal of Ophthalmology
|February 1, 2002
Summary
Temporary balloon buckling offers a simple and effective surgical solution for selected rhegmatogenous retinal detachment cases. This technique achieved high rates of retinal reattachment with long-term success in patients with retinal detachment.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Rhegmatogenous retinal detachment (RRD) is a serious condition requiring prompt surgical intervention.
- Conventional treatments like scleral buckling can be effective but may involve significant morbidity.
Purpose of the Study:
- To evaluate the long-term anatomical and functional outcomes of temporary balloon buckling surgery for RRD.
- To assess the efficacy of this minimally invasive approach in achieving retinal reattachment.
Main Methods:
- Twenty-five eyes with RRD, characterized by single or clustered breaks, underwent temporary parabulbar balloon insertion.
- Adhesion was reinforced using transconjunctival cryopexy and argon laser photocoagulation.
- Patients were followed for a mean of 44.7 months post-procedure.
Main Results:
- Initial retinal reattachment was achieved in 29 eyes.
- After balloon removal, two eyes experienced redetachment, resulting in a final attachment rate of 27 eyes.
- Causes of failure included undetected breaks and inadequate buckling; all eyes ultimately achieved attachment after further intervention.
Conclusions:
- Temporary balloon buckling is a straightforward and curative surgical method for specific RRD patient groups.
- This technique demonstrates potential as a valuable, less invasive option for managing selected retinal detachments.