Mehran Masoudnaseri (Odessa, Ukraine)

Advantages:

To treat and prevent postoperative complications with implantation of intraocular bio balloon after vitrectomy in aphakic and pseudophakic eyes with macular hole in retinal detachment.

Methods:

After vitrectomy the spatial syringe with gas or BSS (Fig 1A) with fixed bio balloon on it (v.4-6 mm) (fig 2A) injected through the ora serrata into the vitreous cavity (fig 3A). Then we filled the bio bubble with gas or (N-saline) up to the normal pressure (fig 4A) and fixed it on the sclera (fig 5A) upon total retinal attachment. Bio balloon has properties similar to silicon balloon and will be observed for 4-6 months. It does not need to be removed after surgery. Result: injection of bio material bubble (trimethyle carbonate) (v.4-6mm) with gas or normal saline in the vitreous cavity creates conditions that gas or liquid dose not create A-Does not get to the anterior chamber and contact with the corneal epithelial layer B-to vessels D-gas or BSS does not get through valves, and holes behind the retina. E-interferes to penetration of gas or…Into the ciliary body and prevents closing of a space for circulation of liquid regulating IOP and prevents closing canal of Schelmm. It prevents postoperative complications, and does not need repeated operations.

Effectiveness / Safety:

This method provides total retinal attachment, prevents postoperative complication, and avoids repeating operations.