Primary Retinal Detachment

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Table 6.1. Preoperative characteristics of 1,462 primary retinal detachments treated with minimal segmental buckling (sponges or balloons) without drainage Series Detach- Aphakia Perforating Reoperation Proliferative Myopia ment pseudo- injury vitreoretino- phakia pathy stage C1 C2 > –7 to –25 dpt First [21, 39] 752 30 – 7 5 – n.a. a Second [26, 40] 107 22 – – 12 4 9 Third [41] 35 3 – – 5 1 5 Fourth [42] 68 5 1 – 11 – 5 Fifth [37] b 500 62 3 30 3 2 71 122 (8.3%) 43 (2.9%) a Not available b Treated with balloon � 126 6 Minimal Segmental Buckling With Sponges and Balloons
Anatomical Results 127 surgery. The temporary balloon buckle was deflated and removed after 1 week. Anatomical Results Since subretinal fluid was not drained, complete disappearance of fluid in some eyes could take several days. Consequently, when applying minimal segmental buckling without drainage, one has to be able to differentiate between delayed absorption of subretinal fluid, residual tractional detachment, and surgical failure to avoid unnecessary reoperations. The results after segmental sponges without drainage, applied in the first four series, were as follows: in the first series primary attachment was achieved in 672 eyes (89%),in the second in 99 eyes (93%), in the third in 35 eyes (100%), and in the fourth series in 65 eyes (96%). In the fifth series of 500 detachments treated with the temporary balloon buckle, the retina was attached and remained attached after removal of the balloon in 454 eyes or in 91% (Table 6.2). Thus, after minimal segmental buckling, limited to the area of the break(s) and without drainage of subretinal fluid of 1,462 Table 6.2. Primary attachment after minimal segmental buckling (sponges or balloons) without drainage of 1,462 retinal detachments Series Detachment Primary attachment First [21, 39] 752 672 (89%) Second [26, 40] 107 99 (93%) Third [41] 35 35 (100%) Fourth [42] 68 65 (96%) Fifth [37] a 500 454 (91%) Total 1,462 1,325 (91%) a Treated with balloon, attachment sustained after removal of balloon
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Ingrid Kreissig (Ed.) Primary Retin
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Professor Dr. med. Ingrid Kreissig
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Contents 1 The History of Retinal D
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List of Contributors Gary W. Abrams
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List of Contributors XI Hermann D.
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2 Helmholz in 1850 made an accurate
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4 (vitreous, gelatin) into the ante
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6 with scleral resection that set t
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8 ditis [72-74].Temperatures up to
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10 1 The History of Retinal Detachm
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16 ion [147]. Perfluorocarbon liqui
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26 2 Prophylaxis in Fellow Eye of P
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32 found that eyes with pre-existin
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36 3 Encircling Operation with Drai
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Chapter 4 Pneumatic Retinopexy for
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Technique 57 Case Selection Proper
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Technique 59 Table 4.1. Gas charact
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Technique 61 solution; however,thes
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Technique 63 gas reflux. Following
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Complications: Prevention and Manag
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New Possibilities 67 ing on type an
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Results 69 Table 4.7 (continued) Au
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Discussion 71 surgical failures. Fa
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Discussion 73 Disadvantages of PR A
Page 84 and 85: References 75 situations, then to p
Page 86 and 87: References 77 24. Tornambe PE, Hilt
Page 88 and 89: References 79 51. Pournaras CJ, Don
Page 90 and 91: Chapter 5 Vitrectomy for the Primar
Page 92 and 93: Indications 83 Table 5.1. Indicatio
Page 94 and 95: Indications 85 Fig. 5.2. The vitreo
Page 96 and 97: Surgical Technique 87 vitrectomy an
Page 98 and 99: Outcomes 89 will be visible under a
Page 100 and 101: Outcomes 91 almost no persistent su
Page 102 and 103: References 93 7. Heimann H, Bornfel
Page 104 and 105: 96 6 Minimal Segmental Buckling Wit
Page 106 and 107: 98 6 Minimal Segmental Buckling Wit
Page 108 and 109: 100 the operating table with the re
Page 110 and 111: 102 6 Minimal Segmental Buckling Wi
Page 114 and 115: 106 a b 6 Minimal Segmental Bucklin
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Page 130 and 131: 122 c d 6 Minimal Segmental Bucklin
Page 132 and 133: 124 c Fig. 6.14c 6 Minimal Segmenta
Page 136 and 137: Table 6.3. Final attachment after m
Page 138 and 139: 130 Choroidals In 4 of the 1,462 de
Page 140 and 141: Table 6.4. Visual acuity at 2 years
Page 148 and 149: 140 Probably, the future question n
Page 154 and 155: 146 7 Pharmacological Approaches to
Page 160 and 161: 152 heparin was published in eyes u
Page 162 and 163: 154 search for compounds with hepar
Page 168 and 169: Chapter 8 Systematic Review of Effi
Page 170 and 171: Materials and Methods 163 Table 8.2
Page 172 and 173: Discussion 165 30% 25% 20% 15% 10%
Page 174 and 175: Discussion 167 Fig. 8.2. The small
Page 176 and 177: Conclusion 169 vitrectomy and searc
Page 178 and 179: References 171 8. Brazitikos PD, D
Page 180 and 181: References 173 34. Gunduz K, Gunalp
Page 182 and 183: References 175 63. Schepens CL (195
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178 9 Repair of Primary Retinal Det
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180 a b Fig. 9.3a,b. Legend see pag
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186 a b 9 Repair of Primary Retinal
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188 might eliminate traction on the
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Chapter 10 Retinal Detachment Repai
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Retinal Detachment Repair: Outlook
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References 207 It is impossible to
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210 C Campbell 7 case selection 57,
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212 M Machemer 13 macular - complic
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214 retinal - detachment - - bilate
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Primary Retinal Detachment

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