Primary Retinal Detachment

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References 175 63. Schepens CL (1951) Progress in detachment surgery. Trans Am Acad Ophthalmol Otolaryngol 55:607–615 64. Custodis E (1953) Bedeutet die Plombenaufnaehung auf die Sklera einen Fortschritt in der operativen Behandlung der Netzhautabloesung? Ber Deutsch Ophth Ges 58:102 65. Lincoff HA, Baras I, McLean J (1965) Modifications to the Custodis procedure for retinal detachment. Arch Ophthalmol. 73:160–163 66. Lincoff HA, McLean JM (1966) Cryosurgical treatment of retinal detachment. II. Trans Am Acad Ophthalmol Otolaryngol 70:202–211 67. 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 68. Hahn YS, Lincoff A, Lincoff H (1979) Infection after sponge implantation for scleral buckling. Am J Ophthalmol 87:180–185
Chapter 9 Repair of Primary Retinal Detachment: The Present State of the Art and How It Came About Ingrid Kreissig, Harvey Lincoff A major advance in the concept of treating a primary rhegmatogenous retinal detachment was the realization that the surgical problem was solely closing the leaking retinal break and that the extent of the detachment or tractional configurations remote from the break are of no consequence. Let us share with you this change in concept over time [1]. Recall, Gonin [2] postulated – for the first time – that a leaking break is the cause of a retinal detachment, and his treatment was limited to the area of this break.With his operation, the attachment rate increased from 0% to 57%. However, this localized procedure was soon modified to coagulations of the entire quadrant of the leaking break. In 1931, Guist and Lindner [3, 4] circumvented further the need for localizing the leaking break by doing multiple cauterizations posterior to the estimated position of the break; Safar [5] applied a semicircle of coagulations posterior to the break. The intent was to create a “barrier” of retinal adhesions posterior to the leaking break. As a result, the treatment was no longer limited to the break, but was expanded over the quadrant in which the break or presumed breaks were located. In 1938, Rosengren [6] again limited – now for the second time – the coagulations to the leaking break. In addition – and for the first time – he added an intraocular tamponade of air, which was positioned in the area of the break to provide an internal support during the formation of retinal adhesion. Retinal attachment increased to about 77% with Rosengren’s procedure. However, the precise placement of coagulations around the break was difficult, and the Rosengren technique was not widely
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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
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Outcomes 89 will be visible under a
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Outcomes 91 almost no persistent su
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References 93 7. Heimann H, Bornfel
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96 6 Minimal Segmental Buckling Wit
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98 6 Minimal Segmental Buckling Wit
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100 the operating table with the re
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102 6 Minimal Segmental Buckling Wi
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106 a b 6 Minimal Segmental Bucklin
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114 a 6 Minimal Segmental Buckling
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122 c d 6 Minimal Segmental Bucklin
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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
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Page 180 and 181: References 173 34. Gunduz K, Gunalp
Page 184 and 185: 178 9 Repair of Primary Retinal Det
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Page 200 and 201: Retinal Detachment Repair: Outlook
Page 212 and 213: References 207 It is impossible to
Page 214 and 215: 210 C Campbell 7 case selection 57,
Page 216 and 217: 212 M Machemer 13 macular - complic
Page 218 and 219: 214 retinal - detachment - - bilate
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Primary Retinal Detachment

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