To the Editor.
—In the May issue, Benson and Tasman1 described the treatment of rhegmatogenous detachments caused by perivascular vitreal retinal traction along the arcades. The first case was managed with a posterior scleral buckle that had to be removed later because of macular distortion. The second and third cases were well managed with trans pars plana mechanical vitrectomy and release of traction.I have encountered a similar case managed effectively by using the Lincoff balloon. In this instance, the catheter was sutured to the sclera with 6-0 plain gut suture, so that the body of the balloon itself was underneath the previously localized tear. A single application of cryotherapy was used to treat the tear, and peripheral release of subretinal fluid provided for the height of the buckle. Then, under direct visualization of the retina, the balloon was inflated and the hole closed. The catheter was left in
Schoeffler LE. Lincoff Balloon Catheter in the Repair of Posterior Retinal Tears. Arch Ophthalmol. 1985;103(1):15–16. doi:10.1001/archopht.1985.01050010017005
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