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The use of sodium hyaluronate (Healon) in the treatment of complicated cases of retinal detachment
Author(s) -
Vatne Harald Overskott,
Syrdalen Per
Publication year - 1986
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1986.tb06895.x
Subject(s) - sodium hyaluronate , retinal detachment , medicine , proliferative vitreoretinopathy , ophthalmology , intraocular pressure , retinal , complication , retina , surgery , optics , physics
Thirty ‐six eyes with retinal detachment and various degrees of proliferative vitreoretinopathy were operated with conventional buckling techniques and the additional use of intravitreal injected sodium hyaluronate (Healon). Eightteen eyes (50%) had re‐attached retina 6 months post‐operatively. The re‐attachment rate depended upon the severity of the proliferative vitreoretinopathy. Three of 4 eyes with grade B, 4 of 5 with grade C‐1, 8 of 13 with grade C‐2, 2 of 11 with grade C‐3 and 1 of 3 eyes with grade D‐1 were reattached. Major complication occurred in 3 aphakic eyes where persistent intraocular pressure rise to 60–70 mmHg necessitated removal of Healon to normalize the intraocular pressure. In one eye Healon passed through a retinal rupture to the subretinal space.