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Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy)

Advantages:

The study of E.LA.D.A.LA.R (Exoplant, laser-assisted Drainage, Air, laser Retinopexy) technique for the treatment of rhegmatogenous retinal detachment.

Methods:

From 1996 to 2007, 300 patients were examined with rhegmatogenous retinal detachment with only one retinal break. They were treated with Eladalar technique.

Surgical technique:

Segmental scleral buckle with or without encircling exoplant. SRF was drained using the endolaser probe (Argon) and air was injected in the vitreous in order to re-establish the intraocular pressure. Laser retinopexy was carried out by indirect ophthalmoscopy.
In 33 cases, retina was attached 12 hours after surgery. Laser treatment was required after surgery in one case due small pupils during surgery, and in one case for “fish eggs” in the vitreous during air injection.
Only 2 cases were unsuccessful and were treated with mini-invasive vitreo-retinal surgery.

Conclusions:

The Eladar technique allows one to use a small segmental scleral buckle, without creating PVR after the surgery. Surgical times differ from classic DACE technique.