[Indications, technic and results of the balloon operation]

The present paper reports on 100 consecutive cases of retinal detachment treated by the balloon method. The patients were kept under observation for a minimum of 12 months postoperatively. Using the balloon method, a complete and lasting reattachment of the retina was achieved in 94% of the cases. Very careful preoperative evaluation and postoperative management are essential prerequisites for the application of this method. Multiple retinal holes can be treated provided they are close together. In order to reduce the redetachment rate due to material problems, episcleral fixation should be done routinely and the vent of the balloon secured. Additional laser coagulation is sometimes necessary postoperatively the balloon method is not only suitable for managing uncomplicated retinal detachment, but is also excellent for treating certain difficult types of detachment, e.g., in eyes previously operated on and glaucoma cases (because the intraocular pressure can be changed using the balloon). The balloon method is a new management technique for selected cases, enabling the experienced surgeon to reattach the retina with practically no complications.