Abstract:

Objective  To evaluate the clinical effect of the minimized retinal surgery: buckling and cryocoagulation with nondrainage. Methods  145 patients with rhegmatogenous retinal detachment accepted buckling and cryocoagulation surgery. Results  138 eyes got reattachment of the retina at the first time, and the achievement ratio was 95.2%. In 7 eyes of failure，6 got reattachment of the retina by minimized retinal surgery, and 1 by vitrectomy. Subretinal fluid of 102 eyes was completely absorbed on the first day of postoperation, 30 eyes in 2 to 3 days, 4 eyes in 3 to 7 days, and 2 eyes in more than 15 days. Followedup for 3 months, all the patients got a better visual acuity and none got serious complications such as superchoroid hemorrhage and infection. Conclusion   Minimized retinal surgery is a better way to treat most rhegmatogenous retinal detachments because of short operation time, low cost, light reaction and better visual function recovery.

Key words: Retinal detachment; Minimized retinal surgery; Buckling