[Skip to Content]
[Skip to Content Landing]
Article
August 1989

Use of Sodium Hyaluronate for the Repair of Giant Retinal Tears

Author Affiliations

From the Retina Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia.

Arch Ophthalmol. 1989;107(8):1246-1249. doi:10.1001/archopht.1989.01070020312046
Abstract

• Sodium hyaluronate (Healon) was used in conjunction with pars plana vitrectomy and scleral buckling to manage unilateral giant retinal tears of 180° or more with severe folding in six consecutive cases. In each instance the retina was successfully flattened, and five of the six have remained so for at least one year. The technique enables the surgeon to unroll a retinal flap that is markedly inverted on itself and oppose it to the underlying retinal pigment epithelium.

References
1.
Schepens CL, Freeman HM:  Current management of giant retinal breaks . Ophthalmology 1967;71:474-487.
2.
Norton EWD, Aaberg T, Fund W, et al:  Giant retinal tears: I. Clinical management with intravitreal air . Am J Ophthalmol 1969;68:1011-1021.
3.
Kanski JJ:  Giant retinal tears . Am J Ophthalmol 1975;79:846-852.
4.
Machemer R, Allen AW:  Retinal tears 180° and greater: Management with vitrectomy and intravitreal gas . Arch Ophthalmol 1976;94:1340-1346.Article
5.
Vidaurri-Leal J, Debustros S, Michels RG:  Surgical treatment of giant retinal tears with inverted posterior retinal flaps . Am J Ophthalmol 1984;98:463-466.Article
6.
Leaver PK, Cooling RJ, Feretis EB, et al:  Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: Results at six months . Br J Ophthalmol 1984;68:432-438.Article
7.
Billington BM, Leaver PK:  Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: Results at 18 months . Graefes Arch Clin Exp Ophthalmol 1986;224:7-10.Article
8.
Glaser BM:  Treatment of giant retinal tears combined with proliferative vitreoretinopathy . Ophthalmology 1986;93:1193-1197.Article
9.
Chang S:  Low viscosity liquid fluorochemicals in vitreous surgery . Am J Ophthalmol 1987;103:38-43.
10.
Federman JL, Shakin JL, Lanning RC:  The microsurgical management of giant retinal tears with transscleral retinal sutures . Ophthalmology 1982;89:832-839.Article
11.
Peyman GA, Rednam KRV, Seetner AA:  Retinal microincarceration with penetrating diathermy in the management of giant retinal tears . Arch Ophthalmol 1984;102:562-565.Article
12.
Ando F, Kondo J:  Surgical techniques for giant retinal tears with retinal tacks . Ophthalmic Surg 1986;17:408-411.
13.
The Retina Society Terminology Committee:  The classification of retinal detachment with proliferative vitreoretinopathy . Ophthalmology 1983;90:121-125.Article
14.
McCuen BW, DeJuan E, Machemer R:  Silicone oil in vitreoretinal surgery: Part 1. Surgical techniques . Retina 1985;5:189-197.Article
15.
Healon, Technical Information and Clinical Experience . Piscataway, NJ, Pharmacia Ophthalmics, 1984, pp 1-19.
16.
Gabel VP, Kampik A, Gabel CH, et al:  Silicone oil with high specific gravity for intraocular use . Br J Ophthalmol 1987;71:2262-2267.Article
17.
Pruett RC, Schepens CL, Swann DA:  Hyaluronic acid vitreous substitute: A six-year clinical evaluation . Arch Ophthalmol 1979;97:2325-2330.Article
18.
Fitzgerald C:  The use of Healon in a case of rolled-over retina . Retina 1981;1:227-229.Article
19.
Folk JC, Packer AJ, Weingeist TA, et al:  Sodium hyaluronate (Healon®) in closed vitrectomy . Ophthalmic Surg 1986;17:299-306.
×