Primary Retinal Detachment
Primary Retinal Detachment
Primary Retinal Detachment
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minimally invasive nature. There is little pain, more rapid return of<br />
vision, and fewer postoperative complications, resulting in a more<br />
expedient return to daily activities. For the surgeon, the procedure<br />
is quick, technically easy, and performed in the outpatient or office<br />
setting. These advantages, combined with the procedure’s low cost,<br />
have led to increased interest and usage of PR for the treatment of<br />
primary RRD.<br />
Technique<br />
Pneumatic retinopexy consists of several key elements, including<br />
proper preoperative patient and case selection, gas injection, laser<br />
or cryopexy, and postoperative positioning.<br />
Patient Selection<br />
4 Pneumatic Retinopexy for <strong>Primary</strong> <strong>Retinal</strong> <strong>Detachment</strong><br />
The use of PR demands a high degree of patient understanding<br />
and compliance in order to succeed. The most frequent cause of<br />
failed closure of the primary break(s) is inadequate tamponade<br />
due to patient non-compliance.As a result, the patient must be able<br />
to understand the vital role of bubble positioning during the<br />
early postoperative course. The surgeon should take extra care<br />
educating the patient preoperatively about the desired head position.<br />
Taking the patient’s head in his/her hands and turning or<br />
tilting it to the proper orientation is frequently helpful. Involving<br />
accompanying family or friends in the discussion may reinforce<br />
the message. Physically, the patient must be able to comply. Those<br />
with arthritis, neck or back problems, or other physical constraints<br />
are less desirable candidates for PR. In general, a young, bright,<br />
highly motivated individual is the best candidate for the PR<br />
technique.