Professional Documents
Culture Documents
PR DR - Donny SPM
PR DR - Donny SPM
In general, the best candidates for pneumatic retinopexy are those who have a single retinal
break or group of retinal breaks that are not larger than 1 clock hour (30) and that are located
in the superior 8 clock hours of the globe. Furthermore, the patient must have the ability to
maintain a proper head position for at least 16 hours per day for 5 days or more.
Patients with a retinal detachment not satisfying these criteria are expected to have much
poorer responses to pneumatic retinopexy than those who do. Predictors of treatment failure
for pneumatic retinopexy include eyes with a vitreous hemorrhage, a retinal detachment
extending more than 4.5 clock hours, pseudophakia, proliferative vitreoretinopathy, visible
vitreous traction on a tear, and/or a retinal break greater than 1 clock hour. [13, 14, 15]
A 2015 report highlighted the value of rescue pneumatic retinopexy in patients with failed
primary scleral buckle or vitrectomy for retinal detachment. [16]