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Primary Retinal Detachment

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Repair of <strong>Primary</strong> <strong>Retinal</strong> <strong>Detachment</strong> 187<br />

a<br />

b<br />

Fig. 9.7. <strong>Primary</strong> vitrectomy with resection of the vitreous and internal<br />

drainage for repair of the detachment in Fig. 9.1.With coagulations around<br />

the tear (a) or with coagulations extended for 360°, a local buckle beneath<br />

the tear and an encircling band (b). Gas was injected to replace the vitreous<br />

and the patient asked to avoid face up during sleep. Air travel will be<br />

restricted until the volume of the gas bubble is less than 10% of the ocular<br />

volume

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