Abstract Two hundred patients (231 eyes) undergoing prophylactic cryoretinopexy for retinal breaks with a follow-up period from six months to three years were found to have no complications as a result of the treatment. There was no new retinal break formation, macular pucker, or subsequent retinal detachment. Analysis of type of retinal hole and location in 216 patients (223 eyes) with clinical retinal detachment are reviewed to emphasize that all types of breaks in all quadrants of the fundus may lead to retinal detachment. Of particular note, 48% of retinal detachments initially occurred without antecedent symptoms. Prophylactic cryoretinopexy for retinal breaks is advocated. References 1. Cockerham WD, Freeman HM: Molehills, mountains and prophylaxis of retinal detachment . Arch Ophthalmol 79:655-656, 1968.Crossref 2. Teng CC, Katzin HM: An anatomic study of the periphery of the retina: I. Nonpigmented epithelial cell proliferation and hole formation . Am J Ophthalmol 34:1237-1248, 1951. 3. Okun E: Gross and microscopic pathology in autopsy eyes: III. Retinal breaks without detachment . Am J Ophthalmol 51:369-391, 1961. 4. Boniuk M, Butler FC: An autopsy study of lattice degeneration, retinal breaks and retinal pits , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, pp 59-75. 5. Foos RY, Allen RA: Retinal tears and lesser lesions of the peripheral retina in autopsy eyes . Am J Ophthalmol 64:643-655, 1967. 6. Rutnin U, Schepens CL: Fundus appearance in normal eyes: IV. Retinal breaks and other findings . Am J Ophthalmol 64:1063-1078, 1967. 7. Halpern JI: Routine screening of the retinal periphery . Am J Ophthalmol 62:99-102, 1966. 8. Barishak YR, Stein R: Retinal breaks without detachment in autopsy eyes . Acta Ophthalmol 50:147-159, 1972.Crossref 9. Byer NE: Clinical study of retinal breaks . Trans Am Acad Ophthalmol Otolaryngol 71:461-473, 1967. 10. Linder B: Acute posterior vitreous detachment and its retinal complications . Acta Ophthalmol , (suppl 87) , pp 1-108, 1966. 11. Jaffe NS: Complications of acute posterior vitreous detachment . Arch Ophthalmol 79:568-571, 1968.Crossref 12. Tasman WS: Posterior vitreous detachment and peripheral retinal breaks . Trans Am Acad Ophthalmol Otolaryngol 72:217-224, 1968. 13. Morse PH, Scheie HG, Aminlari A: Light flashes as a clue to retinal disease . Arch Ophthalmol 91:179-180, 1974.Crossref 14. Neumann E, Hyams S: Conservative management of retinal breaks . Br J Ophthalmol 56:482-486, 1972.Crossref 15. Colyear BH, Pischel DK: Preventive treatment of retinal detachment by means of light coagulation . Trans Pac Coast Otoophthalmol Soc 41:193-215, 1960. 16. Davis M: The natural history of retinal breaks without detachment. Read before the Retina Society, Atlantic City, NJ, 1969. 17. Okun E, Cibis PA: Photocoagulation in limited retinal detachment and breaks without detachment , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, pp 164-172. 18. Straatsma BR, Allen RA, Christensen RE: The prophylaxis of retinal detachment . Trans Pac Coast Otoophthalmol Soc 46:211-236, 1965. 19. Mortimer CB: The prevention of retinal detachment . Can J Ophthalmol 1:206-212, 1966. 20. Colyear BH: A clinical comparison of partially penetrating diathermy and xenon-arc photocoagulation , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, pp 176-185. 21. Söllner F: Uber die prophylaktische Behandlung der Ablatio retinae durch Lichtcoagulation . Ber Dtsch Ophthalmol Ges 66:327-336, 1965. 22. Schepens CL: The preventative treatment of ideopathic and secondary retinal detachment , in Acta Concilium Ophthalmologicum . Belgium, Imprimerie Medicale et Scientifique, SA, 1958, vol 1, 1019-1027. 23. Robertson DM, Norton EWD: Long-term follow-up of treated retinal breaks . Am J Ophthalmol 75:395-404, 1973. 24. Kreissig I, Sbaiti A: Kryopexie in der Ablatio-Prophylaxe . Klin Monatsbl Augenheilkd 159:588-596, 1971. 25. Böke W, Voigt G: Ergebnisse der prophylaktischen Kryoretinopexie . Klin Monatsbl Augenheilkd 159:12-21, 1971. 26. Ramsay RC, Eifrig DE: Outpatient freezing of retinal breaks . Am J Ophthalmol 76:782-785, 1973. 27. Hosni FA: Management of peripheral retinal breaks . Ophthalmologica 166:265-288, 1973.Crossref 28. Robertson DM, Curtin VT, Norton EWD: Avulsed retinal vessels with retinal breaks: A cause of recurrent vitreous hemorrhage . Arch Ophthalmol 85:669-672, 1971.Crossref
Archives of Ophthalmology – American Medical Association
Published: Sep 1, 1974
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