Purpose To describe the clinical results of suprachoroidal viscobuckling, without gas tamponade, for the treatment of rhegmatogenous retinal detachment. Design: Retrospective consecutive single centre case series. Participants: Nine patients with retinal detachment due to a single retinal break or few breaks within one clock hour. Methods Patients were treated with pars plana vitrectomy, trans-scleral suprachoroidal injection of sodium hyaluronate under the break to create a temporary indent, laser retinopexy and no gas tamponade, under local anaesthetic. Main outcome measures: Retinal reattachment at 12 weeks and adverse events. Results: All patients had closure of the causative break, but in one patient there was a small area of peripheral retinal detachment due to missed break. This was walled off with laser barrage and was non progressive. Eight cases had successful primary reattachment, and all had final reattachment. There was one case of raised intraocular pressure that responded to topical therapy, but no clinically significant complications. Conclusions: Vitrectomy and viscobuckle for simple retinal detachment appear to be safe and effective. This has the potential to reduce the burden of recovery and complications associated with gas tamponade and permanent buckling. Further study appears warranted.
Saidkasimova et al. (Mon,) studied this question.
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