Primary Retinal Detachment

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Retinal Detachment Repair: Outlook for the Future 201 Fig. 10.12. Several types of multifocal intraocular lenses IOLs for presbyopia will also complicate our view in the future as their use becomes widespread (Fig. 10.12). Let us also consider clinical trials of the future. Clearly, the current clinical trials methodologies in use are awkward, expensive, and extremely personnel intense.Anybody who has participated in a definitive National Institutes of Health or drug company trial knows this. These trials take years to plan and, by definition, cannot test cutting edge techniques and are not applicable to techniques in evolution. The paperwork and infrastructure currently required to perform high-quality clinical trials is extremely cumbersome and inefficient. Let us consider the concept of the Secure VPN or Virtual Private Network (Fig. 10.13). Consider that groups of surgeons will be securely networked and will have the power to
202 10 Retinal Detachment Repair: Outlook for the Future Fig. 10.13. Virtual personal collaborative networks query the sum experience of the group. Imagine that data will be ferreted out because all data will be computerized and that sophisticated programs, worms, and internet cookies will allow compilation of preoperative data, procedure data, and outcomes, including standardized visual acuity. In addition, patients will be able to be contacted to determine quality of life outcomes. Although all procedures may not be standardized, standardization can evolve and may allow us to collect real time data and outcomes as they occur in patients throughout the United States or the world. One can only imagine what the ability to determine success and outcomes nationally and internationally will do to our ability to advance and understand surgical techniques when such information will be available with minimal effort in comparison with today’s clinical
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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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124 c Fig. 6.14c 6 Minimal Segmenta
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Table 6.1. Preoperative characteris
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Table 6.3. Final attachment after m
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130 Choroidals In 4 of the 1,462 de
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Table 6.4. Visual acuity at 2 years
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140 Probably, the future question n
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146 7 Pharmacological Approaches to
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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
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Page 192 and 193: 186 a b 9 Repair of Primary Retinal
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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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