Primary Retinal Detachment

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32 found that eyes with pre-existing retinal breaks do not have any increased risk of retinal detachment following PVD. The same was true of eyes with pre-existing senile retinoschisis (N.E. Byer, unpublished observations). In the group of eyes with pre-existing lattice degeneration the onset of sudden PVD did lead to new retinal tears in 24% (N.E. Byer, unpublished observations). In 76% of the eyes with lattice degeneration, the occurrence of a PVD did not produce any complication of any kind (N.E. Byer, unpublished observations). However, in 50% of the lattice-eyes the new tears appeared in “normal”-appearing retinal areas and, thus, could not have been pretreated (using the “prophylactic” method) because they would not have been detected. In summary, the conscientious examination of patients with recent symptoms of posterior vitreous detachment, followed by discovery and treatment of new retinal tears, provides the capability of preventing around 44% of rhegmatogenous retinal detachments. The older practice of “prophylactically” treating eyes with predisposing retinal lesions has led only to a disappointing and questionable clinical benefit. That procedure should be officially discarded, and the above much-preferred method should be recognized as the proper standard of care. This then is the obvious and available answer to the question of “What to DO” to prevent retinal detachment. References 2 Prophylaxis in Fellow Eye of Primary Retinal Detachment 1. Schepens CL (1947) A new ophthalmoscope demonstration. Trans Am Acad Ophthalmol Otolaryngol 51:298–301 2. Meyer-Schwickerath G (1949) Ber. 55,Vers Deutsch Ophth Ges Heidelberg 3. Meyer-Schwickerath G, Fried M (1980) Prophylaxis of retinal detachment. Trans Ophthalmol Soc UK 100:56–65 4. Haut J, Arne J, Khairallah M (1988) La prevention du decollement idiopathique de la retine. Bull Soc Ophtalmol Fr 1:173
References 33 5. Toernquist R (1963) Bilateral retinal detachment.Acta Ophthalmol 41: 126–133 6. Edmund J (1964) The clinical picture and prognosis of retinal detachment. Acta Ophthalmol 42:980–1014 7. Boeke W (1966) Contribution to the discussion on the prophylaxis of retinal detachment. Modern Problems in Ophthalmology. Karger, Lausanne, pp 141–144 8. Michaelson IC, Stein R, Barkai S et al (1969) A study in the prevention of retinal detachment. Ann Ophthalmol 1:49–55 9. Davis MD,Segal PP,MacCormick A (1974) The natural course followed by the fellow eye in patients with rhegmatogenous retinal detachment. In: Pruett RC, Regan CDJ (eds) Retina Congress.Appleton-Century-Crofts, New York pp 643–659 10. Bleckmann H, Engels T (1975) Amotio retinae: Netzhautbefunde des Partnerauges. Ber Deutsch Ophthalmol Gesellsch 74:329–333 11. Haut J, Massin M (1975) Frequence des decollements de retine dans la population francaise. Pourcentage des decollements bilateraux. Arch Ophtalmol (Paris) 35: 533–536 12. Laatikainen L, Harju H (1985) Bilateral rhegmatogenous retinal detachment. Acta Ophthalmol 63:541–545 13. Toernquist R, Stenkula S, Tornquist P (1987) Retinal detachment, a study of population-based patient material in Sweden 1971–1981. I. Epidemiology. Acta Ophthalmol 65:213–222 14. Byer NE (1994) Natural history of posterior vitreous detachment with early management as the premier line of defense against retinal detachment. Ophthalmology 101:1503–1513 50. Foos RY (1974) Postoral peripheral retinal tears. Ann Ophthalmol 6:679–687 16. Michaelson IC, Stein RC, Neumann E, Hyams S (1972) A national cooperative study in the prevention of retinal detachment. In: Pruett RC, Regan CDJ (eds) Retina Congress. Appleton-Century-Crofts, New York, pp 661–667 17. Morax S et al (1974) Avenir du deuxieme oeil apres traitement eventuel de ses lesions retiennes, chez 571 malades ayant presente un decollement retinien du premier oeil. I. Etude statistique. Arch Ophtalmol (Paris) 34:193–200 18. Dralands L et al (1980) Evolution des lesions de la peripherie de la retine dans l’oeil congenere d’un decollement retinien. Bull Mem Soc Fr Ophtalmol 92:73–77
Page 2 and 3: Ingrid Kreissig (Ed.) Primary Retin
Page 4 and 5: Professor Dr. med. Ingrid Kreissig
Page 6 and 7: Contents 1 The History of Retinal D
Page 8 and 9: List of Contributors Gary W. Abrams
Page 10 and 11: List of Contributors XI Hermann D.
Page 12 and 13: 2 Helmholz in 1850 made an accurate
Page 14 and 15: 4 (vitreous, gelatin) into the ante
Page 16 and 17: 6 with scleral resection that set t
Page 18 and 19: 8 ditis [72-74].Temperatures up to
Page 20 and 21: 10 1 The History of Retinal Detachm
Page 26 and 27: 16 ion [147]. Perfluorocarbon liqui
Page 36 and 37: 26 2 Prophylaxis in Fellow Eye of P
Page 46 and 47: 36 3 Encircling Operation with Drai
Page 64 and 65: Chapter 4 Pneumatic Retinopexy for
Page 66 and 67: Technique 57 Case Selection Proper
Page 68 and 69: Technique 59 Table 4.1. Gas charact
Page 70 and 71: Technique 61 solution; however,thes
Page 72 and 73: Technique 63 gas reflux. Following
Page 74 and 75: Complications: Prevention and Manag
Page 76 and 77: New Possibilities 67 ing on type an
Page 78 and 79: Results 69 Table 4.7 (continued) Au
Page 80 and 81: Discussion 71 surgical failures. Fa
Page 82 and 83: 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
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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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152 heparin was published in eyes u
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154 search for compounds with hepar
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Chapter 8 Systematic Review of Effi
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Materials and Methods 163 Table 8.2
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Discussion 165 30% 25% 20% 15% 10%
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Discussion 167 Fig. 8.2. The small
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Conclusion 169 vitrectomy and searc
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References 171 8. Brazitikos PD, D
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References 173 34. Gunduz K, Gunalp
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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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