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      Treatment of Retinal Detachment after Penetrating Injury: Heavy Cryotreatment of the Fibrous Ingrowth as an Adjunct to Vitreoretinal Microsurgery


      S. Karger AG

      Cryotherapy, Retinal detachment, Penetrating eye injury, Microsurgery

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          Heavy cryotreatment of the fibrous ingrowth remnants at the inner surface of the scleral wound was performed, as an adjunct to vitreo retinal microsurgery, in a series of 32 eyes affected with retinal detachment after penetrating scleral wound. Surgical success, with a follow-up of 6–42 months after gas disappearance, was achieved in 25 eyes (71%). However, permanent retinal reattachment was achieved with a single operation in only 64% of the eyes successfully operated on (16/25). Thirty-six per cent (9/25 eyes) of the retinal detachments that were eventually successfully operated on showed clinical evidence of gradual contraction of the vitreous base in the postoperative course, and required 2 or more operations. Experimental studies on standardized models are required to determine whether destruction of the fibrous ingrowth remnants with heavy cryo is of any value in the management of retinal detachment after penetrating scleral wound.

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          Author and article information

          S. Karger AG
          31 March 2010
          : 194
          : 4
          : 164-168
          Clinique Ophtalmologique Universitaire B, UER Lyon Nord, Hôpital de la Croix-Rousse, Lyon, France
          309758 Ophthalmologica 1987;194:164–168
          © 1987 S. Karger AG, Basel

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          Pages: 5
          Original Paper


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