The use of Healon in a case of rolled-over retina

A retinal detachment with giant tear and rolled-over retina were repaired using pars plana vitrectomy techniques and intraocular Healon and air injection. Direct manipulation of the retina with instruments was not necessary during the procedure due to the apparent mechanical property of Healon. Although the giant tear was unrolled with Healon injection, revision of the scleral buckle and air injection was needed at a later date to permit final successful reattachment of the retina. The case report presented is intended to provide information concerning the surgeon's technique for the use of Healon in the management of a giant tear with rolled-over retina.