Abstract
Dear Editor,
Thank you for giving us the opportunity to respond to the critical questions of Georgalas et al.
Induction of PVD was difficult in the young patients. This surgical step was not more complicated using small-gauge instrumentation with respect to 20-gauge instrumentation. We did not observe any iatrogenic tears. It was possible to perform a complete PVD in all patients. We used C3F8 as long-acting gas in all patients.
Brockhurst (4) reported that laser treatment in the presence of subretinal fluid does not lead to scotomas. This is also our experience, even though laser treatment is also more difficult and less effective in the presence of subretinal fluid. We agree with Georgalas et al when they note that the subretinal fluid does not enter from the optic disc rim, but from the schisis. This said, laser treatment should be more customized. However, most patients have a long duration of symptoms and it is difficult to locate the break from where the liquid enters the subretinal space. Laser treatment is crucial to achieve a better adhesion of the neuroretina on the retinal pigment epithelium and to stimulate the absorption of the subretinal fluid.