Primary Retinal Detachment

Temporary Balloon Buckle Without Drainage 117
c
Fig. 6.11c
Fig. 6.11. A total pseudophakic detachment with capsular remnants.
a In the detachment in the anterior so-called traction line at 11:30 a little
tit was discovered. To find this area of suspicion at the operating table, in
the radian of the tit a laser mark was placed in the pars plana prior to surgery.
b After balloon operation (1 day): The balloon was inserted beneath
the tit at 11:30. The localizing cryopexy lesion is visible on the balloon
buckle. The retina is attached. Since a break was not found for certain, it
has, however, to be located in the area of the balloon buckle. Therefore, the
entire buckle had to be secured with interrupted laser lesions. The lattice
degeneration with a pseudohole was not treated, not even at a later time.
c After balloon operation at day 9: The balloon was withdrawn, and the
entire area of suspicion, formerly placed on the buckle, is covered with
pigmented thermal lesions. The retina remained attached during the
entire follow-up of 7 years