Primary Retinal Detachment
Primary Retinal Detachment
Primary Retinal Detachment
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
118<br />
6 Minimal Segmental Buckling With Sponges and Balloons<br />
3. An old detachment with a pigment demarcation line and an<br />
intraretinal cyst (Fig. 6.12); here too, a balloon buckle sufficed.<br />
4. The balloon can also be used as a diagnostic tool to test for<br />
presence of only one break in two separate detachments<br />
(Fig. 6.13).<br />
5. Or, the balloon can be used even in a detachment up for reoperation<br />
with PVR stage C2 (Fig. 6.14).<br />
Why Is the Balloon Operation so Difficult to Accept?<br />
The premises for success are: (1) a maximum of preoperative diagnostics,<br />
so as not to overlook a break; (2) a precise localization<br />
of the break at the table without prior drainage; (3) marking the<br />
detached break on mobile conjunctiva (in contrast to the segmental<br />
sponge operation, in which the break can be marked precisely<br />
on the sclera); and (4) localization of a highly elevated break on a<br />
yet slightly indenting parabulbar balloon in presence of a bullous<br />
detachment with a pronounced and misleading parallax.<br />
Advantages of the Balloon Operation<br />
Advantages of the balloon operation are as follows:<br />
1. The surgery is short, ranging between 10 min and 20 min<br />
2. The anesthesia is topical or subconjunctival<br />
3. The recovery of vision is fast and optimal<br />
4. The last complications of segmental buckling are eliminated,<br />
i.e., there is no buckle infection, because the balloon is removed,<br />
and no diplopia. Diplopia, if present, disappears after the balloon<br />
is withdrawn.