In Reply.
—Pneumatic retinopexy has several potential advantages for the management of some retinal detachments.1,2 It involves much less manipulation than a scleral buckle and does not require a conjunctival incision; it therefore (1) eliminates the need to go to the operating room, (2) speeds rehabilitation and visual recovery, (3) decreases the likelihood of muscle imbalance, (4) eliminates surgically induced refractive error, and (5) eliminates conjunctival and episcleral scarring that can complicate future surgical procedures. Initially it was used for a select group of detachments with superior breaks not more than 1 clock hour apart, but enthusiasm generated by the above advantages has prompted some surgeons to expand their indications.As experience with the techique has grown, so has the list of potential disadvantages, which now includes (1) the development of new retinal breaks, (2) the development of folds through the macula, (3) detachment of a previously attached macula,