Outcomes of pneumatic retinopexy in rhegmatogenous retinal detachment [Yirtikli retina dekolmaninda pnömatik retinopeksi sonuçlari]

Purpose: To evaluate the anatomic success rate of pneumatic retinopexy in rhegmatogenous retinal detachment and to determine the factors related to anatomic success. Material and Methods: 35 eyes of 35 phakic patients who had rhegmatogenous retinal detachment and who had been treated with pneumatic retinopexy were analysed retrospectively. In 28 eyes 0.3 cc pure perfluoropropane (C3F8) gas and in 7 eyes 0.3 cc pure sulfur hexafluoride (SF6) gas were injected intravitreally. The rate of anatomic success and complications were analyzed. Data was evaluated statistically with Chi-square and Fisher's exact test. Results: The mean age of patients was 55.97±10.71 (16 -75 year). All of 35 eyes were phakic. The mean number of retinal tears was 1.3 (1-3). All of them were located in the upper quadrant. The mean follow up period was 16.69±17.96 months (1-72 month). After the intravitreal gas injection; cryopexy was performed in 11 eyes and argon laser photocoagulation was performed in 24 eyes as additional treatment. Anatomic success rate was 65.7% following pneumatic retinopexy. 12 eyes needed additional operations such as pars plana vitrectomy or scleral buckling surgery. Anatomic success was obtained in all of the eyes with second surgery. The factors related to anatomic success rate were analyzed. Conclusions: Pneumatic retinopexy is an effective treatment in selected patients with phakic rhegmatogenous retinal detachment