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Advantages:

The classic technique  for the treatment of the retinal detachment is characterized by two critical points: the drainage and the retinopexy.  The exclusive use of the laser beam allows to reduce the risks during the drainage avoiding not only the mechanical cut but also the risks of hemorrhage, acute hypotone and incarceration. The laser transpupillar retinopexy on attached retinal on external piombaggio allows to reduce the risks linked to the use of a crioprobe on the pigmented epithelium and  concerning the risk of developing PVR.

Methods:

The personal method represents an evolution of the Bovino technique implemented with a brushing in order to decrease the cornea, putting the drainage in one shot. In this  way the drainage il slow and regular avoiding bleeding, incarceration and risk of extreme drainage.

The exclusive use of laser beam  may  be summarize through the acronym E.la.D.A.la.R (Exoplant, laser-assisted Drainage, Air, laser Retinopexy) and it’s different from other techniques such as DACE, because to obtain the advantages od the laser it’s necessary  to change the surgery’s timing.

Starting from 1996 until 2013, more than 300 patients have been examined with rhegmatogenous retinal detachment with only one retinal break. They have been treated with Eladalar technique. Surgical technique: segmental scleral buckle with or without encircling explant. To drain the SRF has been used the endolaser probe (Argon), and in order to re-establish the intraocular pression has been injected air in the vitreous. Laser retinopexy has been done with indirect ophthalmoscopy. In 33 cases retina was attached after 12 hours from the surgery. Laser treatment has been done after surgery in one case for small pupils during surgery and in one case for âœfisheggsâ during the air injection in the vitreous. Only 2 cases have not been successful and have been treated with mini-invasive vitreo-retinal surgery.

Effectiveness

This technique has been created by the undersigned, when I was young and when the fear of causing complications during the phase of the drainage was stronger. During the years I went on with this technique of the retinal detachment, teaching it to the young  ophthalmologists.  The exclusive use of the laser allows to reduce the risk of the hemorrhage, of the extreme drainage and of the retinal incarceration, and allows  to reduce the stimulation of the PVR.