Primary Retinal Detachment

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118 6 Minimal Segmental Buckling With Sponges and Balloons 3. An old detachment with a pigment demarcation line and an intraretinal cyst (Fig. 6.12); here too, a balloon buckle sufficed. 4. The balloon can also be used as a diagnostic tool to test for presence of only one break in two separate detachments (Fig. 6.13). 5. Or, the balloon can be used even in a detachment up for reoperation with PVR stage C2 (Fig. 6.14). Why Is the Balloon Operation so Difficult to Accept? The premises for success are: (1) a maximum of preoperative diagnostics, so as not to overlook a break; (2) a precise localization of the break at the table without prior drainage; (3) marking the detached break on mobile conjunctiva (in contrast to the segmental sponge operation, in which the break can be marked precisely on the sclera); and (4) localization of a highly elevated break on a yet slightly indenting parabulbar balloon in presence of a bullous detachment with a pronounced and misleading parallax. Advantages of the Balloon Operation Advantages of the balloon operation are as follows: 1. The surgery is short, ranging between 10 min and 20 min 2. The anesthesia is topical or subconjunctival 3. The recovery of vision is fast and optimal 4. The last complications of segmental buckling are eliminated, i.e., there is no buckle infection, because the balloon is removed, and no diplopia. Diplopia, if present, disappears after the balloon is withdrawn.
Temporary Balloon Buckle Without Drainage 119 a b Fig. 6.12. Old inferior detachment. a The detachment has several pigment demarcation lines, an intraretinal cyst, and a round hole at 5:30. b After balloon operation at day 9: After balloon insertion (1 day) the retina had attached. After pigmentation of the cryopexy lesions around the break, the balloon was withdrawn after a week. There are still visible the pigment demarcation lines and the intraretinal cyst
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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
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List of Contributors XI Hermann D.
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2 Helmholz in 1850 made an accurate
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4 (vitreous, gelatin) into the ante
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6 with scleral resection that set t
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8 ditis [72-74].Temperatures up to
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10 1 The History of Retinal Detachm
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16 ion [147]. Perfluorocarbon liqui
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26 2 Prophylaxis in Fellow Eye of P
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32 found that eyes with pre-existin
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36 3 Encircling Operation with Drai
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Chapter 4 Pneumatic Retinopexy for
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Technique 57 Case Selection Proper
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Technique 59 Table 4.1. Gas charact
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Technique 61 solution; however,thes
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Technique 63 gas reflux. Following
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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
Page 106 and 107: 98 6 Minimal Segmental Buckling Wit
Page 108 and 109: 100 the operating table with the re
Page 110 and 111: 102 6 Minimal Segmental Buckling Wi
Page 114 and 115: 106 a b 6 Minimal Segmental Bucklin
Page 122 and 123: 114 a 6 Minimal Segmental Buckling
Page 130 and 131: 122 c d 6 Minimal Segmental Bucklin
Page 132 and 133: 124 c Fig. 6.14c 6 Minimal Segmenta
Page 134 and 135: Table 6.1. Preoperative characteris
Page 136 and 137: Table 6.3. Final attachment after m
Page 138 and 139: 130 Choroidals In 4 of the 1,462 de
Page 140 and 141: Table 6.4. Visual acuity at 2 years
Page 148 and 149: 140 Probably, the future question n
Page 154 and 155: 146 7 Pharmacological Approaches to
Page 160 and 161: 152 heparin was published in eyes u
Page 162 and 163: 154 search for compounds with hepar
Page 168 and 169: Chapter 8 Systematic Review of Effi
Page 170 and 171: Materials and Methods 163 Table 8.2
Page 172 and 173: Discussion 165 30% 25% 20% 15% 10%
Page 174 and 175: 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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Primary Retinal Detachment

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