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Pneumatic retinopexy (PR) is effective for selected retinal detachments (RDs). Pneumatic retinopexy has failed in a previously reported case of retinoschisis-related RD.1 The successful management of a patient with progressive rhegmatogenous retinoschisis RD with pneumatic retinopexy is described.
On August 27, 1998, a 52-year-old woman referred for retinal evaluation described photopsias, floaters, and a "curtain" in the right eye of 3 weeks' duration. Best-corrected visual acuity was 20/40 OD. Bullous retinoschisis extended from the 7- to 11-o'clock positions and an RD bisected the fovea. Two large outer wall holes (OWHs) measuring 16 × 9 mm extended from the 7:30- to the 10:30-o'clock positions 8 mm anterior to the fovea. No inner wall hole (IWH) was visible with indirect ophthalmoscopy. Goldmann lens identified 3 pinpoint IWHs at the 10-o'clock position. There were no full-thickness breaks.
Vrabec TR. Pneumatic Retinopexy in a Progressive Rhegmatogenous Retinoschisis Retinal Detachment. Arch Ophthalmol. 2000;118(5):720–721. doi:
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