A Practical Guide to Minimal Surgery for Retinal Detachment 1

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Januar 2000



This text presents tried and tested methods for diagnosing and treating retinal detachment without vitrectomy.


How to Do Minimal Surgery for Retinal Detachment: Part I
1. Rhegmatogenous Retinal Detachment 1.1. Introduction 1.2. Vitreous Body 1.3. Precursors of Rhegmatogenous Retinal Detachment 1.4. Characteristics of Rhegmatogenous Retinal Detachment
2. Preoperative Examination 2.1. How to Find the Break(s) 2.2. Lincoff Rules 2.3. Some Special Detachments 2.4. Summation
3. Acute Rhegmatogenous "Vitreous" Hemorrhage: What to Do? 3.1. Precursors of a Retinal Detachment in Connection with "Vitreous" Hemorrhage 3.2. Topography of an Acute "Vitreous" Hemorrhage 3.3. Conservative Management 3.4. Clinical Study and Results 3.5. Summation
4. Rhegmatogenous Detachment without a Break 4.1. Characteristics of a Rhegmatogenous Detachment 4.2. Optical Problems in the Search for the Retinal Break 4.3. Techniques to Find a Tiny Break 4.4. Intraoperative Techniques to Find a Tiny Break 4.5. Summation
5. Differential Diagnosis: Rhegmatogenous vs. Non-rhegmatogenous Detachment 5.1. Peripheral Retinal Elevations 5.2. Central Elevations 5.3. Dependent Retinal Elevations
6. The Fellow Eye 6.1. Diagnostics 6.2. Epidemiology 6.3. Prophylactic Treatment
7. Cryosurgery 7.1. Cryosurgery in Relation to Retinal Detachment Surgery 7.2. Cryosurgery 7.2.1. Dosage of Thermal Applications 7.2.2. Adhesive Strength of Thermal Lesions 7.2.3. Development of Adhesive Strength over Time 7.2.4. Ophthalmoscopic Appearance of Cryosurgical Lesions 7.2.5. Histology of Cryopexy Lesions 7.2.6. Summation 7.2.7. Remodelling of the Cryosurgical Adhesion over Time 7.2.8. Basics for the Detachment Surgeon from the Thermal Experiments 7.2.9. Clinical Application of Cryosurgery (Cryopexy)
8. Segmental Buckling with Nondrainage: Minimally Extraocular Surgery for Retinal Detachments 8.1. Principle of Nondrainage Operation 8.2. Preoperative Management of Segmental Buckling with Nondrainage 8.3. Anesthesia 8.4. Instrumentation and Surgical Technique 8.5. Orientation of Segmental Buckle 8.6. Application of Nondrainage 8.7. Optimal Tamponade for Multiple Breaks 8.8. Tamponade for Large Tears or Multiple Breaks (at Different Latitudes) > 40 to 70 in Circumferential Arc 8.9. Tears > 70 in Circumferential Arc 8.10. Tamponade of Oral Disinsertions (Retinal Dialyses) 8.11. Application of Cerclage 8.12. A Retinal Detachment, an Emergency 8.13. Residual Detachment after Nondrainage Operation: Differential Diagnosis 8.14. Complications 8.15. Results 8.15.1 Anatomical Results 8.15.2 Functional Results 8.16. Retinal Detachments with PVR Grade B, C1 and C2 8.17 References
9. Minimally Extraocular Surgery for Retinal Detachments with 1 Break: Temporary Balloon Buckle with Nondrainage 9.1 Introduction 9.2. Surgical Technique 9.3. Mechanism of Parabulbar Balloon 9.4. Indications 9.5. Anatomical and Functional Longterm Results 9.6. Complications 9.7. Summation
10. Minimally Intraocular Surgery for Retinal Detachment: Expanding Gases without Drainage (Pneumatic Retinopexy) 10.1. Introduction 10.2. Physical Properties of Gases 10.3. Indications 10.4. Longterm Results 10.5. Complications 10.6. Intraocular Gases versus Extraocular Balloon Buckle for the Treatment of Uncomplicated Retinal Detachments 10.7. Summation
11. Balloon-Gas-Procedure 11.1. Introduction 11.2. Surgical Technique 11.3. Indication 11.4. Longterm Results 11.5. Summation
12. Minimally Extraocular Surgery as Reoperation for Retinal Detachment: A Rational Approach 12.1. Rational for Minimally Extraocular Surgery 12.2. Patients and Methods 12.3. Results 12.4. Summation
13. Limits of Extraocular Scleral Buckling 13.1. Indications for Vitrectomy Quiz: Concerning Diagnostics and Type of Treatment of: 50 Rhegmatogenous Retinal Detachments - Presentation of: - Preoperative detachment and its contours - without the break(s) - with break(s) found - Preoperative findings of fellow eye - Surgical procedure(s) applied - Results/Complications
14. Conclusion


Ingrid Kreissig
EAN: 9783131110619
ISBN: 3131110619
Untertitel: Diagnostics, Segmental Buckling without Drainage, Case Presentations. 'Thieme Flexible Taschenbücher'. 176 meist farbige Abbildungen, Tabellen. Sprache: Englisch.
Verlag: Thieme Georg Verlag
Erscheinungsdatum: Januar 2000
Seitenanzahl: XII
Format: kartoniert
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