Minimal Gas Vitrectomy and Buckle for Retinal Detachment Repair

Dr. Rajeev Muni and colleagues introduce a new technique for patients with inferior and superior retinal breaks in detached retina. A minimal gas vitrectomy with a segmental buckle allows closure of the inferior break with the buckle as well as the superior break with the gas tamponade, with no air-fluid exchange. The fluid is reabsorbed naturally by the RPE pump. This technique might be useful in minimizing retinal displacement in patients with retinal detachment and inferior breaks in detached retina. Traditional pars plana vitrectomy (PPV) or PPV/scleral buckle with a full gas fill would have a high risk of retinal displacement, while pneumatic retinopexy would not be ideal because of the inferior break.

Relevant Financial Disclosures: None