Primary Retinal Detachment

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the operating table with the retina still detached, in contrast to
the one after drainage or the injection of a gas bubble after
drainage, in which case the retina is already attached at the
table. Following such an operation, the surgeon can feel relaxed
and, as often said,“sleep better.” However, the secrets of success
with nondrainage are: first, the surgeon has to be convinced
that all of the breaks have been found and tamponaded sufficiently,
and, second, a spontaneous attachment on the next day
will confirm that all of the breaks were found and tamponaded
sufficiently. However, this will be the case only in retrospect, i.e.,
hours after surgery combined with postoperative concern on
the part of the surgeon. However, by performing drainage, often
explained as being done for the sake of the surgeon or the patient,
the retina might be attached at the table only temporarily,
due to the drainage alone.
As a consequence, the “conditio sine qua non” for spontaneous
attachment after nondrainage is that all of the leaking breaks have
been found and tamponaded sufficiently intraoperatively. Otherwise,
the spontaneous or “magic” disappearance of subretinal fluid
will not occur. Other questions were:
3. Will a buckle that is unsupported by an encircling band persist?
4. Is the prophylactic value of a cerclage needed for long-term
retinal attachment?
Minimal Segmental Buckling With Sponges and Balloons
Without Drainage (Extraocular Minimal Surgery)
Specifics
6 Minimal Segmental Buckling With Sponges and Balloons
This surgery is derived from the cryosurgical detachment operation
of Lincoff, introduced in 1965 [16], which brought about two
major changes: (1) the change from intraocular to extraocular
surgery, since drainage of subretinal fluid was omitted and (2)
the change from a surgery of the detachment to a surgery of the