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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2006, Number 6

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Rev Mex Oftalmol 2006; 80 (6)

Estudio piloto de retinopexia con láser de diodo transescleral y vitrectomía en desprendimiento primario regmatógeno de retina sin cerclaje escleral

Hernández-Da Mota SE, Morales-Cantón V, Quiroz-Mercado H, Blanco-Moreno E

Language: Spanish
References: 38
Page: 291-296
PDF size: 468.62 Kb.


ABSTRACT

Purpose: To evaluate the safety and efficacy of transcleral diode laser retinopexy and vitrectomy without scleral buckling in primary rhegmatogenous retinal detachment.
Patients and methods: Eleven consecutive patients with primary rhegmatogenous retinal detachment underwent two-port pars plana vitrectomy and transescleral diode laser retinopexy without scleral buckling to reattach the retina. The follow-up period was six months. Patients with chronic detachment, giant retinal tear, history of uveitis, infectious retinopathy, or proliferative vitreoretinopathy were excluded. Design: prospective, no comparative case series.
Results: By six months, ten of eleven retinas were successfully repaired following one operation. One of the retinas redetached two weeks after initial surgery. Final visual acuity in all patients was 20/100 or better in five of the studied cases.
Conclusions: In the pilot series, transescleral diode laser retinopexy combined with vitrectomy served as a safe and effective method to obtain chorioretinal adhesion and relieve vitreous traction in retinal detachment surgery.


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