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Br J Ophthalmol 2000;84:673 doi:10.1136/bjo.84.6.673
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Prophylactic scleral buckle for prevention of retinal detachment following vitrectomy for macular hole

  1. ROBERT MORRIS
  1. Birmingham, Alabama
  2. Birmingham, Alabama and Pecs, Hungary
  3. Birmingham, Alabama
  4. Pecs, Hungary
    1. FERENC KUHN
    1. Birmingham, Alabama
    2. Birmingham, Alabama and Pecs, Hungary
    3. Birmingham, Alabama
    4. Pecs, Hungary
      1. C DOUGLAS WITHERSPOON
      1. Birmingham, Alabama
      2. Birmingham, Alabama and Pecs, Hungary
      3. Birmingham, Alabama
      4. Pecs, Hungary
        1. VIKTÓRIA MESTER
        1. Birmingham, Alabama
        2. Birmingham, Alabama and Pecs, Hungary
        3. Birmingham, Alabama
        4. Pecs, Hungary
        1. Dr Kuhn

          Editor,—Chang et al 1 deserve credit for calling attention to one of the most serious complications following macular hole surgery—retinal detachment.

          Occurring in typically 4% to 7% (1–18%) of such eyes, retinal detachment usually results in a final visual acuity significantly lower than in eyes without such complication,2 3 even if surgery to reattach the retina is successful. Prophylaxis of retinal detachment is therefore of great importance.

          Certain precautions such as careful peeling of the still attached posterior hyaloid face and careful inspection of the retinal periphery with scleral indentation before fluid-air exchange are useful in reducing the rate of postoperative retinal detachment. Having been alerted to the unexpected frequency …

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