The surgical management of giant retinal tears with the cannulated extrusion needle

Brian C. Joondeph, Harry W. Flynn, George W. Blankenship, Bert M. Glaser, Walter H. Stern

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

In 18 eyes of 17 patients, we treated retinal detachment caused by a giant retinal tear by unfolding and repositioning the retina with a cannulated extrusion needle. After pars plana vitrectomy, a fluid-gas exchange was performed with the patient in the supine position. Using the cannulated extrusion needle to drain subretinal fluid posterior to the giant retinal tear, the retinal flap was manipulated into the correct anatomic position. With this technique, 18 of 18 eyes with retinal detachment caused by a giant retinal tear were successfully reattached intraoperatively. Although eight of these eyes subsequently redetached and required additional surgical procedures, 16 of 18 eyes remain attached with a mean follow-up of 11 months.

Original languageEnglish (US)
Pages (from-to)548-553
Number of pages6
JournalAmerican journal of ophthalmology
Volume108
Issue number5
DOIs
StatePublished - Nov 15 1989

ASJC Scopus subject areas

  • Ophthalmology

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