Primary Retinal Detachment

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50 3 Encircling Operation with Drainage for Primary Retinal Detachment vitrectomy. Both procedures share the complications of penetrating ocular injury. After careful examination, a skillfully executed encircling and drainage operation has a high rate of success. However, morbidity leads to a gradual change in the author’s practice. Encircling and drainage are not necessary conditions for a high rate of first operation success after scleral buckling; in fact, one can be equally successful employing less-morbid procedures. An editorial concluded that “accurate localization of all retinal holes and precise placing of the buckle are of course essential, and confidence in the success of the procedure is necessary to outweigh a fear of failure induced in the surgeon by the presence of fluid under the retina at the end of the operation. The temptation to drain and ‘make sure’ must be resisted.Yielding may well court complications” [43]. � Acknowledgements. Illustrations by Daniel Casper, MD, PhD. This chapter was supported by an unrestricted grant generously provided by Mr. Walter Klein. References 1. Arruga MH (1958) Le cerclage equatorial pour traiter le decollement retinien. Bull Soc Franc Ophtal 71:571–580 2. Schepens CL, Okamura ID, Brockhurst RJ (1957) The scleral buckling procedures. 1. Surgical techniques and management. Arch Ophthalmol 58:797–811 3. Janssens GJA (1958) The treatment of retinal detachment by means of “eye-ball reducing” operations. Dekker & van de Vegt N.V., Utrecht 4. Safar K (1932) Behandlung der Netzhautabloesung mit Elektroden fuer multiple diathermische Stichelung. Ber Dtsch Ophthalmol Ges 49:119 5. Jess A (1937) Temporaere Skleraleindellung als Hilfsmittel bei der Operation der Netzhautabloesung. Klin Monatsbl Augenheildlk 99: 318–319
References 51 6. Custodis E (1953) Bedeutet die Plombenaufnaehung auf die Sklera einen Fortschritt in der operativen Behandlung der Netzhautabloesung? Ber Dtsch Ophthalmol Ges 58:102–105 7. Gonin J (1921) Le traitement du decollement retinien. Ann D’Oculistique 158:175–194 8. Gonin (1928) J Mes plus recentes Experiences touchant le Decollement Retinien. Arch d’Ophtalmologie 55:554–561 9. Dark AJ, Rizk SNM (1965) Untoward sequels of arruga encirclement for retinal detachment. Br J Ophthal 49:259 10. Manson N (1964) The “String Syndrome” seen as a complication of Arruga’s cerclage suture. Br J Ophthal 48:70 11. Schepens CL, Okamura ID, Brockhurst RJ (1958) The scleral buckling procedures. II. Technical difficulties of primary operations.Arch Ophthalmol 60: 84–92 12. Schepens CL (1964) Scleral buckling with circling element. Trans Am Acad Ophthalmol Otolarnygol 68:959–979 13. MIRA Vitreoretinal Implants. Mira, Inc., Waltham, MA 14. Hudson JR, Kanski JJ, Elkington AR (1973) Prophylactic encirclement. Br J Ophthal 57:531–535 15. McAllister IL, Meyers SM, Zegarra H, Gutman FA, Zakov ZN, Beck GJ (1988) Comparison of pneumatic retinopexy with alternative surgical techniques. Ophthalmology 95:877–883 16. Tornambe PE (1997) Pneumatic retinopexy: the evolution of case selection and surgical technique. A twelve-year study of 302 eyes. Trans Am Ophthalmol Soc 95:551–578 17. Dobbie JG (1980) Circulatory changes in the eye associated with retinal detachment and its repair. Trans Am Ophthalmol Soc 78:503–563 18. Yoshida A, Feke GT, Green GJ, Coger DG, Matsuhashi M, Jalkh AE, McMeel JW (1983) Retinal circulatory changes after scleral buckling procedures. Am J Ophthalmol 95:182–188 19. Tornambe PE, Hilton GF, the Retinal Detachment Study Group (1989) Pneumatic retinopexy. A multicenter randomized controlled clinical trial comparing pneumatic retinopexy with scleral buckling. Ophthalmology 96:772–784 20. Lagreze W, Lieb B, Schrader W, Kommerell G. Periphere (1993) Netzhautkorrespondenz nach Amotio retinae. Klin Monatsbl Augenheilkd 203:347–350 21. Schrader WF, Hamburger G, Lieb B, Hansen LL, Kommerell G (1995) Motilitaet und Binokularfunktion nach radiaerer episcleraler Plombe. Klin Monatsbl Augenheilkd 207:224–231
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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
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
Page 94 and 95: Indications 85 Fig. 5.2. The vitreo
Page 96 and 97: 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
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Page 108 and 109: 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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