Our experience in minimized surgery for retinal detachment: first results

Area of Science:

• Ophthalmology
• Surgical Innovation
• Retinal Surgery

Background:

• Retinal detachment is a serious condition requiring surgical intervention.
• Conventional scleroplastic surgery for retinal detachment can involve complications such as drainage and serclage.
• Minimally invasive techniques are sought to improve patient outcomes.

Purpose of the Study:

• To evaluate the efficacy of a minimized surgical approach for retinal detachment.
• To assess the anatomical and functional results of cryopexy and scleral segmental buckling without drainage or serclage.
• To compare outcomes with conventional surgical methods.

Main Methods:

• The study included 35 patients with retinal detachment undergoing cryopexy and scleral segmental buckling with silicone sponge, without drainage or serclage.
• Precise localization of retinal lesions and cryopexy were guided by indirect ophthalmoscopy with specialized lenses.
• Patient demographics, lesion characteristics, disease duration, and postoperative outcomes were recorded.

Main Results:

• Anatomical reattachment of the retina was achieved in 100% of patients by the last examination.
• Postoperative complications such as haemophthalmus, vitreitis, anterior segment ischemia, or elevated intraocular pressure were absent.
• Good visual acuity was achieved, with 60% of patients having >0.5 on day one and 40% achieving 1.0 at final follow-up.

Conclusions:

• The minimized surgery for retinal detachment yields favorable anatomical and functional results.
• This technique effectively avoids common postoperative complications of conventional scleroplastic surgery.
• The described method offers a safe and effective alternative for retinal detachment repair.