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Background/aim of the work:

Pneumatic retinopexy is a recognized, simple, procedure for the treatment of rhegmatogenous retinal detachment (RRD). However, this technique is not widely practiced in UK in particular and Europe in general. This is due to several factors including limited range of indications and lower success rate compared to other techniques as scleral buckling or vitrectomy surgery. Additionally, some authors believe t hat injection of gas in a non-vitrectomized eye can result in the development of new retinal tear(s). The purpose of this presentation was to examine the anatomical outcome of pneumatic retinopexy when used in a carefully selected population of patients with primary RRD and to highlight the authors’ strategies for selecting and treating these patients.


Retrospective audit of consecutive cases of primary RRD operated by pneumatic retinopexy from 2 vitreo-retinal centres. The main clinical outcome was primary anatomical retinal re-attachment.


All cases had follow up of 3 months or more. Primary Reattachment rate was achieved in 80% cases. Details of the techniques used and case selection criteria will be discussed.


Though this series examined a small number of patients, results suggest that pneumatic retinopexy is a technique that could be useful in some cases of RRD. Success rate is likely to be dependent on case selection.