ABSTRACT
The Pneumatic Retinopexy Clinical Trial (PRCT) showed that the overall anatomic success is similar between pneumatic retinopexy and scleral buckling, and eyes treated with pneumatic retinopexy attained better visual acuity. Although many eyes exceeded the inclusion criteria of the PRCT, outcomes were similar. Pneumatic retinopexy may be used to repair retinal detachments caused by retinal break(s) located in the upper two-thirds of the fundus with proliferative vitreoretinopathy of grade B or less. Pneumatic retinopexy may be applied in eyes with a broad range of retinal findings that influence surgical outcome. Eyes in which pneumatic retinopexy may be indicated can be grouped into higher, intermediate, and lower predicted success rate categories based on ocular findings at initial examination. The surgical outcome depends upon preoperative pathology and the surgical technique. Larger eyes require larger bubbles to subtend similar arcs of retinal contact.
