Primary Retinal Detachment

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34 2 Prophylaxis in Fellow Eye of Primary Retinal Detachment 19. Girard P et al (1982) Le devenir de l’oeil adelphe dans le decollement de retine. Etude sur 1148 patients. J Fr Ophtalmol 5:681–685 20. Girard P et al (1983) Le ecollement de retine du deuxieme eil. Facteurs de risque. J Fr Ophtalmol 6:975–979 21. Folk JC et al (1989) The fellow eye of patients with phakic lattice retinal detachment. Ophthalmology 96:72–77 22. Herzeel R et al (1989) Cryotherapie preventive de la retine et chirurgie de la cataracte. J Fr Ophtalmol 12:433–437 23. Byer NE (1989) Long-term natural history of lattice degeneration of the retina. Ophthalmology 96:1396–1401 24. Byer NE (1986) Long-term natural history study of senile retinoschisis with implications for management. Ophthalmology 93:1127–1136 25. Byer NE (1998) What happens to untreated asymptomatic retinal breaks, and are they affected by posterior vitreous detachment? Ophthalmology 105: 1045–1049 26. Byer NE (1981) Cystic retinal tufts and their relationship to retinal detachment. Ophthalmology 99:1788–1790 27. Murakami K et al (1983) Vitreous floaters.Ophthalmology 90:1271–1276 28. Linder B (1966) Acute posterior vitreous detachment and its retinal complications: a clinical biomicroscopic study. Acta Ophthalmol 87[Suppl]:65–68 29. Tasman WS (1968) Posterior vitreous detachment and peripheral retinal breaks. Trans Am Acad Ophthalmol Otolaryngol 72:217–224 30. Jaffe NS (1968) Complications of acute posterior vitreous detachment. Arch Ophthalmol 79:568–571 31. Tabotabo MM, Karp LA, Benson WE et al (1980) Posterior vitreous detachment. Ann Ophthalmol 12:59–61 32. Foos RY (1972) Posterior vitreous detachment. Trans Am Acad Ophthalmol Otolaryngol 76:480–497 33. Byer NE (2000) Kann die rhegmatogene Netzhautabloesung verhindert werden? Ueberlegungen zur der “prophylaktischen” Behandlung der Netzhautabloesung. Ophthalmologie 97:696–702 34. Colyear BH, Pischel DK (1956) Clinical tears in the retina without detachment. Am J Ophthalmol 41:773–792 35. Colyear BH, Pischel DK (1960) Preventive treatment of retinal detachment by means of light coagulation. Trans Pac Coast Oto-Ophthalmol Soc 41:193–215 36. Davis MD (1973) The natural history of retinal breaks without detachment. Trans Am Ophthalmol Soc 71:343–372
Chapter 3 Encircling Operation with Drainage for Primary Retinal Detachment Hermann D. Schubert Encircling circumferential buckles and drainage, also known as “scleral buckling”, were introduced by Arruga and Schepens [1, 2] in the 1950s. Encircling traces its roots to circumferential dissection [3], barrier diathermy [4] and the buckle as practiced by Jess [5] and Custodis [6]. Drainage can be traced back to repeated scleral punctures to flatten retinal elevations (ponction sclerale) [7] and Jules Gonin’s ignipuncture technique [8]. This chapter will review the reasons why eyes were originally encircled, why the procedure works in a majority of cases, and why eyes are still being encircled and drained today, despite the procedure’s inherent morbidity. Origins of Encircling: Arruga and Schepens Arruga devised a simple procedure using a nylon, silk or supramid suture to encircle the equator of the eye (Fig. 3.1). Breaks were either diathermized according to Gonin’s principle or isolated by a barrier: “Je diathermise la region des dechirures, ou aux endroits qu’il faut isoler par un barrage” [1]. Arruga’s operation consisted of a treatment of breaks, creation of barriers, and volume reduction. Fluid was drained from and air was injected into the eye to replace lost volume. Tying a suture at the equator (14 mm posterior to the limbus) both reduced the volume of the ocular cavity, relieving vitreous traction, and protected the posterior segment from the torn anterior segment, at the price
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 42 and 43: 32 found that eyes with pre-existin
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
Page 92 and 93: 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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