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Update on pneumatic retinopexy.

Efrem D Mandelcorn1, Mark S Mandelcorn, Joshua S Manusow

  • 1aDepartment of Ophthalmology and Vision Sciences, University of Toronto bDepartment of Ophthalmology, University Health Network/Toronto Western Hospital, Toronto, Ontario, Canada.

Current Opinion in Ophthalmology
|March 19, 2015
PubMed
Summary
This summary is machine-generated.

Pneumatic retinopexy offers effective, cost-efficient retinal detachment repair with good outcomes. This in-office procedure is less costly and has fewer complications than alternatives, despite declining use.

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Area of Science:

  • Ophthalmology
  • Surgical Innovation

Background:

  • Retinal detachment is a serious condition requiring timely intervention.
  • Traditional surgical methods include scleral buckling and pars plana vitrectomy.

Purpose of the Study:

  • To review the history, indications, procedure, outcomes, economics, and trends of pneumatic retinopexy.
  • To assess pneumatic retinopexy as an in-office retinal detachment repair procedure.

Main Methods:

  • Literature review of pneumatic retinopexy.
  • Analysis of personal experience with pneumatic retinopexy in selected cases.

Main Results:

  • Pneumatic retinopexy is effective for retinal detachment repair, with reattachment rates from 60% to 91%.
  • Indications are expanding beyond small, superior retinal breaks with favorable outcomes.
  • It is more cost-effective and has fewer complications than scleral buckling and pars plana vitrectomy.

Conclusions:

  • Pneumatic retinopexy is an effective and inexpensive procedure for selected retinal detachment cases.
  • It offers an alternative with a reduced complication profile compared to other retinal reattachment surgeries.
  • Despite its benefits, the utilization of pneumatic retinopexy appears to be decreasing.