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The Side-Steamroll: a Modified Steamroller Maneuver to Control Fluid Displacement After Pneumatic Retinopexy
Jeffrey M Mah1, Shiva Sabour2,1, Sueellen Demian2,1
1Department of Ophthalmology, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Retinal Cases & Brief Reports
|June 22, 2026
Summary
The side-steamroll technique helps prevent subretinal fluid displacement during pneumatic retinopexy (PnR) for retinal detachment. This modified maneuver shows promise in improving reattachment rates for specific inferior retinal breaks.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Rhegmatogenous retinal detachment (RRD) poses a risk of vision loss.
- Pneumatic retinopexy (PnR) is a common treatment for RRD.
- Inferiorly located retinal breaks can lead to subretinal fluid (SRF) displacement, complicating PnR.
Purpose of the Study:
- To evaluate the efficacy of the side-steamroll maneuver in preventing inferior SRF displacement after PnR.
- To assess the impact of the side-steamroll on primary reattachment rates in RRD with inferior breaks.
Main Methods:
- A consecutive case series of four patients with RRD and inferior attached retinal breaks.
- Patients underwent PnR followed by the side-steamroll maneuver.
- Outcomes measured included primary and final reattachment, need for additional surgery, and final best-corrected visual acuity (BCVA).
Main Results:
- Three out of four eyes achieved primary retinal reattachment.
- All four eyes achieved reattachment by the final follow-up.
- Two patients required additional surgical interventions for reattachment or late redetachment.
- BCVA improved in three eyes.
Conclusions:
- The side-steamroll technique is a potentially valuable adjunct to PnR for RRD with inferior breaks.
- This maneuver may increase primary reattachment rates by preventing SRF migration.
- Larger studies are needed to confirm the effectiveness and safety of the side-steamroll.
