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Repair of a primary rhegmatogenous retinal detachment
  1. T Barrie1,
  2. I Kreissig2,
  3. H Heimann3,
  4. E R Holz4,
  5. W F Mieler4
  1. 1Tennent Institute of Ophthalmology, Gartnavel General Hospital, 1053 Great Western Road, Glasgow G12 0YN, UK susan.j.campbell{at}
  2. 2Univ-Augenklinik, Theodor-Kutzer-Ufer 1–3, 68187 Mannheim, Germany; ingrid.kreissig{at}
  3. 3Eye Department, University Hospital Benjamin Franklin, Free University Berlin, Hindenburgdamm 30, 12200 Berlin, Germany; heinrich.heimann{at}
  4. 4Vitreoretinal Diseases and Surgery, Baylor College of Medicine, 6565 Fannin, NC-205, Houston, TX 77030, USA; eholz{at}
  1. Correspondence to: Dr Thomas Barrie, Tennent Institute of Ophthalmology, Gartnavel General Hospital, 1053 Great Western Road, Glasgow G12 0YN, UK; susan.j.campbell{at}

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An emmetropic otherwise well 67 year old man, with no history of eye disease, presents with a rhegmatogenous retinal detachment. The patient needs surgery to repair the detachment. There are three major techniques available to repair the detachment—scleral buckling without drainage, primary vitrectomy, and pneumatic retinopexy. In determining which surgical technique to choose, there are a number of clinical features to consider such as the location and size of the retinal breaks, the presence of media opacities such as cataract, and the presence of proliferative vitreoretinopathy. Additionally, the training and experience of the surgeon is important.

Who should perform the surgery? Which technique should be used? The three invited experts present the case for each technique and discuss their relative advantages and disadvantages.


  • Series editors: Susan Lightman and Peter McCluskey

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