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Primary Retinal Detachment

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112<br />

6 Minimal Segmental Buckling With Sponges and Balloons<br />

Fig. 6.9. Lincoff-Kreissig Balloon. The presented balloon has (1) a metal<br />

stylette to facilitate insertion into the parabulbar space and (2) calibrations<br />

(black marks) on the tube to enable a more precise determination of<br />

the position of the balloon in the parabulbar space. Top: Deflated balloon<br />

catheter with stylette in place; beneath it the adapter. Bottom: Inflated balloon<br />

(0.75 ml of sterile water) with self-sealing valve in place; beneath it<br />

the withdrawn stylette<br />

Temporary Balloon Buckle Without Drainage<br />

To reduce the surgical trauma of minimal segmental buckling<br />

without drainage even further, in 1979, Lincoff, Hahn, and Kreissig<br />

[36] replaced the segmental sponge sewed onto sclera by a temporary<br />

buckle. Subsequently the Lincoff-Kreissig balloon evolved<br />

(Fig. 6.9) [37, 38]. In contrast to the sponge buckle, (1) the application<br />

of the balloon buckle is limited to detachments with one break<br />

or a group of breaks within one clock hour, (2) the balloon is not<br />

fixated by sutures, and (3) it is withdrawn after 1 week. The rationales<br />

for removing the balloon after 1 week were the results of our

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