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Sodium Hyaluronate and Giant Retinal Tears

Sodium Hyaluronate and Giant Retinal Tears Abstract To the Editor. —We were surprised and perplexed by the article by Brown and Benson1 describing their technique for closing giant retinal tears (GRTs) of 180° or more with rolled posterior flaps.The authors used sodium hyaluronate as an agent to unfold the posterior flap after all conventional methods, including silicone oil-fluid exchange, had failed to unfold the retina "before the eye... [could]... be fully filled with gas or silicone oil." We believe this method is incorrect and not a logical approach to the problem, for the following reasons: Persistent retinal folding in GRTs may be the result of epiretinal membrane proliferation and shortening or (occasionally) of incomplete removal of vitreous gel from the free surface of the flap. Persistent retinal folding in GRTs is readily managed by completing the silicone oil exchange. Once preretinal and subretinal fluid is removed, the free edge of the folded GRT References 1. Brown GC, Benson WE. Use of sodium hyaluronate for the repair of giant retinal tears . Arch Ophthalmol . 1989;107:1246-1249.Crossref 2. De Juan E, McCuen B, Tiedeman J. Intraocular tamponade and surface tension . Surv Ophthalmol . 1985;30:47-51.Crossref 3. Leaver PK, Cooling RJ, Feretis EB, Lean JS, McLeod D. Vitrectomy and fluid/silicone oil exchange for giant retinal tears: results at six months . Br J Ophthalmol . 1981;68:432-438.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Sodium Hyaluronate and Giant Retinal Tears

Sodium Hyaluronate and Giant Retinal Tears

Abstract

Abstract To the Editor. —We were surprised and perplexed by the article by Brown and Benson1 describing their technique for closing giant retinal tears (GRTs) of 180° or more with rolled posterior flaps.The authors used sodium hyaluronate as an agent to unfold the posterior flap after all conventional methods, including silicone oil-fluid exchange, had failed to unfold the retina "before the eye... [could]... be fully filled with gas or silicone oil." We believe this...
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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1990.01070060026010
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —We were surprised and perplexed by the article by Brown and Benson1 describing their technique for closing giant retinal tears (GRTs) of 180° or more with rolled posterior flaps.The authors used sodium hyaluronate as an agent to unfold the posterior flap after all conventional methods, including silicone oil-fluid exchange, had failed to unfold the retina "before the eye... [could]... be fully filled with gas or silicone oil." We believe this method is incorrect and not a logical approach to the problem, for the following reasons: Persistent retinal folding in GRTs may be the result of epiretinal membrane proliferation and shortening or (occasionally) of incomplete removal of vitreous gel from the free surface of the flap. Persistent retinal folding in GRTs is readily managed by completing the silicone oil exchange. Once preretinal and subretinal fluid is removed, the free edge of the folded GRT References 1. Brown GC, Benson WE. Use of sodium hyaluronate for the repair of giant retinal tears . Arch Ophthalmol . 1989;107:1246-1249.Crossref 2. De Juan E, McCuen B, Tiedeman J. Intraocular tamponade and surface tension . Surv Ophthalmol . 1985;30:47-51.Crossref 3. Leaver PK, Cooling RJ, Feretis EB, Lean JS, McLeod D. Vitrectomy and fluid/silicone oil exchange for giant retinal tears: results at six months . Br J Ophthalmol . 1981;68:432-438.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1990

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