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June 1970

IV. Intraocular Balloon: Clinical Application

Author Affiliations

From the Department of Retina Research, Retina Foundation and Retina Service, Massachusetts Eye and Ear Infirmary, Boston. Dr. Couvillion was a research fellow at the Retina Foundation under the sponsorship of the Heed Ophthalmic Foundation.

Arch Ophthalmol. 1970;83(6):715-721. doi:10.1001/archopht.1970.00990030715008

A vitreous probe with an inflatable latex balloon at its tip is described, as well as the technique of its use. This instrument was used as an adjunct in the management of 16 cases of giant retinal breaks with a bound down inverted posterior retinal flap. The adhesions between the flap and the underlying retina were broken in 11 cases so that the flap could be unfolded. With the retinal flap mobilized, the case was made operable. Of the 16 cases, four patients have had reattachment of the retina with useful vision. Results obtained with the instrument to mobilize a bound down retinal flap and to reattach a retina with a tear of 270° are illustrated in a case report.