PERFLUOROCARBON LIQUIDS IN THE SURGICAL-T REATMENT OF THE RETINAL-DETACHMENT WITH AN INVERTED RETINAL TEAR

Surgical procedures used today to treat retinal detachment with an inv erted giant retinal tear have considerably improved. Vitrectomy associ ated with perfluorocarbon liquid injection has replaced old procedures necessary to unfold the inverted retinal flap. Seventeen patients wer e operated on with an anatomic success rate of 76 % and an a rage foll ow up of fifteen months. The successive surgical stages (lensectomy, r etinopexy, internal tamponade, circular scleral buckle) are discussed. Proliferative vitreoretinopathy is the maill postoperative complicati on explaining the high rate of reoperation (56 %). In high myopia, a p rophylactic circular scleral buckle of the fellow eve has become syste matic.