A Second Case of Bilateral Rhegmatogenous Retinal Detachments Repaired With Simultaneous Bilateral Pneumatic Retinopexy

Rubin, Uriel; Jager, C. de; Zakour, Moayed; Gonder, J.

doi:10.1097/icb.0000000000000333

Cited by 4 publications

(5 citation statements)

References 5 publications

(8 reference statements)

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“…Bilateral retinal detachments can be treated with pneumatic retinopexy. 79 – 81 These patients can undergo simultaneous bilateral pneumatic retinopexy, and the possibility of faster visual rehabilitation may offer a particular advantage in these patients.…”

Section: Introductionmentioning

confidence: 99%

Pneumatic retinopexy: patient selection and specific factors

Stewart

Chan

2018

OPTH

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Pneumatic retinopexy is a minimally invasive, non-incisional procedure for repairing retinal detachment. This procedure is associated with reduced morbidity, reduced cost and faster postoperative recovery compared to pars plana vitrectomy and scleral buckling. Superior visual acuity outcomes have also been reported. Intraoperative complications are primarily related to the intraocular pressure rise caused by gas injection, or the misdirection of the gas. There is a low rate of postoperative complications. Anatomic success rates of over 90% can be achieved when strict selection criteria are applied. However, a number of studies have revealed good outcomes in cases with expanded clinical indications. Pneumatic retinopexy is currently underutilized. With appropriate patient selection, a high success rate can be achieved, and therefore, this procedure has an important role in the armamentarium of the vitreoretinal surgeon.

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Section: Introductionmentioning

confidence: 99%

Pneumatic retinopexy: patient selection and specific factors

Stewart

Chan

2018

OPTH

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“…By employing a sequential alternating head position maneuver, the multiple retinal breaks can be individually closed. In the case reported by Rubin et al (7) successful PR surgery was also performed using 0.4 ml of 100% C 3 F 8 gas; however, new retinal breaks appeared two months postoperatively, possibly due to the prolonged presence of C 3 F8 gas bubble that lead to vitreoretinal traction in the eye.…”

Section: Discussionmentioning

confidence: 98%

“…To date, only two case reports have demonstrated simultaneous PR for bilateral RRD [Kerimoglu et al ( 6 ) and Rubin et al ( 7 )]. In our case report, we deviated from previous approaches.…”

Section: Discussionmentioning

confidence: 99%

Case report: Advanced modified pneumatic retinopexy for treating simultaneous bilateral rhegmatogenous retinal detachment

Guo,

Zhu,

Zhang

et al. 2024

Front. Med.

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BackgroundSimultaneous bilateral rhegmatogenous retinal detachment (RRD) is a rare and challenging condition in ophthalmology. This case report focuses on a modified pneumatic retinopexy technique, designed to improve treatment outcomes for this difficult condition.Case presentationA 59-year-old male presented with decreased visual acuity in his right eye for one week. Examination revealed extensive retinal detachment in the right eye with multiple superior breaks and macula off, separated by approximately 3 clock hours. The left eye exhibited one quartile of retinal detachment with superior breaks and macula on. Bilateral simultaneous PR was performed for retinal repair. In the modified PR procedure, 0.7 ml of low-concentration perfluoropropane and 0.7 ml of filtered pure air were intravitreally injected into the right and left eyes, respectively. A head position maneuver was then employed to sequentially close retinal breaks, followed by laser photocoagulation once the surrounding retina reattached. Two days after gas injection, both retinas were completely reattached. Best corrected visual acuity improved to 0.6 in the right eye and 0.9 in the left eye at the 8-month follow-up.ConclusionThe innovative modified pneumatic retinopexy technique presented in this case report offers a promising new approach for effectively treating simultaneous bilateral rhegmatogenous retinal detachment.

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“…S imultaneous or sequential rhegmatogenous retinal detachments repaired with pneumatic retinopexy (PR) have been infrequently reported. [1][2][3] The development of a full-thickness macular hole (FTMH) after PR is also an uncommon complication occurring at 0.3% or less, 4 but has been reported. [5][6][7][8] The following case demonstrates early formation and spontaneous closure of an FTMH in a patient with diabetic macular edema (DME) who recently underwent PR.…”

mentioning

confidence: 99%

Macular Hole Formation Followed by Spontaneous Closure After Pneumatic Retinopexy in a Patient With Diabetic Macular Edema

Cohen

Baumal

2021

RETINAL Cases &Amp; Brief Reports

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Purpose: To report early formation and spontaneous closure of a full-thickness macular hole that developed after successful pneumatic retinopexy in a patient who had been undergoing treatment for diabetic macular edema.Methods: Case report of a 68-year-old man with bilateral nonproliferative diabetic retinopathy who was currently undergoing anti-vascular endothelial growth factor treatment for bilateral diabetic macular edema.Results: On presentation, visual acuity was 20/200 in the left eye, and examination revealed a bullous, macula-off retinal detachment with a single horseshoe tear at 12 o'clock in the left eye. Pneumatic retinopexy was performed followed by laser augmentation 3 days later. Three weeks postoperatively, he returned with visual acuity of 20/50 and a full-thickness macular hole in the left eye. Although he elected for initial observation, he returned 2 weeks later with visual acuity of 20/50 in both eyes and a retinal detachment with a single break at 10 o'clock in the right eye. The macular hole in the left eye had spontaneously resolved. Pneumatic retinopexy was performed to the right eye. Over 1 year after bilateral pneumatic retinopexy, his retina remains without recurrence of a macular hole in the left eye.Conclusion: In the early postoperative period after pneumatic retinopexy to repair a retinal detachment, a macular hole can form and spontaneously close.

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A Second Case of Bilateral Rhegmatogenous Retinal Detachments Repaired With Simultaneous Bilateral Pneumatic Retinopexy

Cited by 4 publications

References 5 publications

Pneumatic retinopexy: patient selection and specific factors

Pneumatic retinopexy: patient selection and specific factors

Case report: Advanced modified pneumatic retinopexy for treating simultaneous bilateral rhegmatogenous retinal detachment

Macular Hole Formation Followed by Spontaneous Closure After Pneumatic Retinopexy in a Patient With Diabetic Macular Edema

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