1M.D. Faculty of Medicine Universitas Padjadjaran, Bandung/INDONEZYA 2M.D.Cicendo National Eye Hospital , Vitreo-retina, Bandung/INDONEZYA
Purpose: To describe the effect of combination of pneumatic retinopexy (PR) procedure to scleral buckle (SB) on rhegmatogenous retinal
Materials and Methods: A comparison study to 39 patients with rhegmatogenous retinal detachment who underwent SB (group 1) or combined
SB and PR (group 2) between January 2014 and December 2014 was performed. Break location, macula status, visual acuity before and after
surgery, break apposition, attachment of retina, and recurrence of RD were recorded.
Results: The single surgery attachment rate for group 1 and 2 was 90% and 100%, respectively. Lower incidence of redetachment was noted in
the combined SB and PR group. (0% vs 2%, p=0.487). We found that in 2 patients with malpositioned buckle in group 2, the break was closed
after tamponade with SF6 and laser photocoagulation. The visual acuity in one-month follow-up was significantly different between the two
Conclusion: Combination of SB with PR may improved the attachment rate and may be used routinely especially for beginner ophthalmologist
regardless precise localization of the on-break buckle placement.