Long-term histologic and electrophysiologic evaluation of the alloy retinal tack.

The retinal tack is a useful adjunctive instrument in the repair of complicated retinal detachments. To examine the tissue response of chronically implanted alloy tacks, we implanted a series of tacks into rabbit eyes. Their effects were observed at 1 and 4 weeks, at 6 months, and at 2.5 years after insertion. Our observations indicate that the histology and electrophysiology of the retina was generally not affected. All tacks were surrounded by connective and/or glial tissue scar and induced firm retinal adherence. The retinal architecture was normal within 1 mm of the scar, indicating that these alloy tacks do not cause tissue damage outside the immediate area of the wound, even when left in place over a period of 2 years.