Primary Retinal Detachment

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140 Probably, the future question no longer will be: which method is better for attaching a primary detachment: 1. A limited or a prospective buckle? 2. An intraocular or extraocular surgery? Rather, it will be: 3. Which method is applied at its optimum with a minimum of strain on our financial resources? And this could mean treating a break in a primary detachment by an extraocular surgery, limited to the break, i.e., a surgery, performed under local anesthesia and on a small budget, with a low rate of morbidity and reoperations, and with optimal long-term visual results. Perhaps in the future a less morbid procedure to attach the retina will be developed, or the pendulum of detachment surgery, as witnessed already during the past 75 years, might swing back to an extraocular minimal surgery. And in this case, we again might have to train surgeons skilled in preoperative diagnostics to find the break(s) and in the art of applying a minimum of segmental buckling without drainage to attach a retina. References 6 Minimal Segmental Buckling With Sponges and Balloons 1. Gonin J (1930) Le traitement opératoire du décollement rétinien. Conférence aux journées médicales de Bruxelles. Bruxelles-Médical 23:No. 17 2. Guist E (1931) Eine neue Ablatiooperation. Ztsch Augenheilk 74: 232–242 3. Lindner K (1931) Ein Beitrag zur Entstehung und Behandlung der idiopathischen und der traumatischen Netzhautabloesung. Graefes Arch Ophthalmol 127:177–295 4. Rosengren B (1938) Ueber die Behandlung der Netzhautabloesung mittelst Diathermie und Luftinjektion in den Glaskoerper. Acta Ophthalmol 16:3–142
References 141 5. Schepens CL, Okamura ID, Brockhurst RJ (1957) The scleral buckling procedures. 1. Surgical techniques and management. Arch Ophthalmol 58:797–811 6. Arruga MH (1958) Le cerclage equatorial pour traiter le decollement retinien. Bull Soc Franc Ophtal 71:571–580 7. Kreissig I (1971) Kryopexie in der Ablatio-Chirurgie (2. Mitteilung). Klin Mbl Augenheilk 159:737–741 8. Blagojevic M, Ilic R (1975) Drainage of the subretinal fluid and injection of saline solution in the vitreous body. Mod Probl Ophthal 15:169–173 9. Huebner H, Boeke W (1975) Klinische und technische Aspekte der subretinalen Drainage. Mod Probl Ophthal 15:137–142 10. Toernquist R, Toernquist P (1988) <strong>Retinal</strong> detachment. III Surgical results. Acta Ophthalmologica 66:630–636 11. Lincoff H, Kreissig I (1972) The treatment of retinal detachment without drainage of subretinal fluid (modifications of the Custodis procedure, Part VI). Trans Am Acad Ophthalmol Otolaryngol 76:1221–1232 12. Custodis E (1953) Bedeutet die Plombenaufnaehung auf die Sklera einen Fortschritt in der operativen Behandlung der Netzhautabloesung? Ber Dtsch Ophthalmol Ges 58:102–105 13. Schepens CL, Okamura ID, Brockhurst RJ et al (1960) Sceral buckling procedures. V. Sutures and silicone implants. Arch Ophthalmol 64: 868–881 14. Lincoff H, O’Connor P, Kreissig I (1970) <strong>Retinal</strong> adhesion after cryosurgical applications. Klin Monatsbl Augenheilkd 156:771–783 15. Kreissig I, Lincoff H (1971) Ultrastructure of cryopexy adhesion. In: DOG Symp.“Die Prophylaxe der idiopathischen Netzhautabhebung.” Bergmann, Muenchen, pp 191–205 16. Lincoff H, Baras I, McLean J (1965) Modifications to the Custodis procedure for retinal detachment. Arch Ophthalmol 73:160–163 17. Kreissig I (1972) Ultrastructure of the cryopexy adhesion in retinal surgery. Postdoctorial thesis. University of Bonn, pp 1–172 18. Kreissig I, Lincoff H (1975) Mechanism of retinal attachment after cryosurgery. Trans Ophthalmol Soc U K 95:148–157 19. Lincoff H, Gieser R (1971) Finding the retinal hole. Arch Ophthalmol 85:565– 569 20. Kreissig I (2000) A practical guide to minimal surgery for retinal detachment: vol. 1. Thieme Stuttgart, New York, pp 14–15, and back cover of book
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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
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References 75 situations, then to p
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References 77 24. Tornambe PE, Hilt
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References 79 51. Pournaras CJ, Don
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Chapter 5 Vitrectomy for the Primar
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Indications 83 Table 5.1. Indicatio
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Indications 85 Fig. 5.2. The vitreo
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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 134 and 135: Table 6.1. Preoperative characteris
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 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
Page 184 and 185: 178 9 Repair of Primary Retinal Det
Page 186 and 187: 180 a b Fig. 9.3a,b. Legend see pag
Page 192 and 193: 186 a b 9 Repair of Primary Retinal
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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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