Primary Retinal Detachment

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Probably, the future question no longer will be: which method
is better for attaching a primary detachment:
1. A limited or a prospective buckle?
2. An intraocular or extraocular surgery?
Rather, it will be:
3. Which method is applied at its optimum with a minimum of
strain on our financial resources?
And this could mean treating a break in a primary detachment by
an extraocular surgery, limited to the break, i.e., a surgery, performed
under local anesthesia and on a small budget, with a low
rate of morbidity and reoperations, and with optimal long-term
visual results. Perhaps in the future a less morbid procedure to
attach the retina will be developed, or the pendulum of detachment
surgery, as witnessed already during the past 75 years, might swing
back to an extraocular minimal surgery. And in this case, we again
might have to train surgeons skilled in preoperative diagnostics
to find the break(s) and in the art of applying a minimum of segmental
buckling without drainage to attach a retina.
References
6 Minimal Segmental Buckling With Sponges and Balloons
1. Gonin J (1930) Le traitement opératoire du décollement rétinien.
Conférence aux journées médicales de Bruxelles. Bruxelles-Médical
23:No. 17
2. Guist E (1931) Eine neue Ablatiooperation. Ztsch Augenheilk 74:
232–242
3. Lindner K (1931) Ein Beitrag zur Entstehung und Behandlung der
idiopathischen und der traumatischen Netzhautabloesung. Graefes
Arch Ophthalmol 127:177–295
4. Rosengren B (1938) Ueber die Behandlung der Netzhautabloesung
mittelst Diathermie und Luftinjektion in den Glaskoerper. Acta Ophthalmol
16:3–142