Primary Retinal Detachment

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144 6 Minimal Segmental Buckling With Sponges and Balloons 51. Lincoff H, Kreissig I (1994) Finding the retinal hole in the pseudophakic eye with detachment. Am J Ophthalmol 117:442–446 52. Framme C, Roider J, Hoerauf H et al (2000) Complications after external retinal surgery in pseudophakic retinal detachment – are scleral buckling operations still current? Klin Monatsbl Augenheilkd 216:25–32 53. Tornambe PE, Hilton GF, Brinton DA et al (1991) Pneumatic retinopexy.A two-year follow-up study of the multicenter clinical trial comparing pneumatic retinopexy with scleral buckling. Ophthalmology 98:1115–1123 54. Bartz-Schmidt KU,Kirchhof B,Heimann K (1996) Primary vitrectomy for pseudophakic retinal detachment. Br J Ophthalmol 80:346–349 55. Lincoff H, Kreissig I (2000) Changing patterns in the surgery for retinal detachment: 1929 to 2000. Klin Monatsbl Augenheilkd 216: 352–359 56. Kreissig I (2000) A practical guide to minimal surgery for retinal detachment: vol. 2. Thieme, Stuttgart, New York, p 305 57. Richardson EC, Verma S, Green WT, Woon H, Chignell AH (2000) Primary vitrectomy for rhegmatogenous retinal detachment: an analysis of failure. Eur J Ophthalmol 10:60–166
Chapter 7 Pharmacological Approaches to Improve Surgical Outcomes After Retinal Reattachment Surgery Mark S. Blumenkranz Introduction Prior to the modern era ushered in by Gonin, with the recognition that retinal detachment is caused by retinal breaks, a variety of nonspecific and pharmacological methods were employed, without predictable success, for the treatment of retinal detachment. It remains true today that the most important pharmacological agent in the diagnosis and treatment of retinal detachment is the mydriatic drop, since without adequate visualization of the fundus and identification of the break, no definitive treatment is possible. Other opportunities still exist for the pharmacological enhancement of retinal reattachment, by improvement in both anatomical and functional results. These include (1) improvement in the final retinal reattachment rate, (2) improvement in visual acuity following successful retinal reattachment, and (3) reduction in complications. Inasmuch as the majority of routine or uncomplicated retinal detachments can now be accomplished safely by utilizing modern scleral buckling techniques,the risk–benefit ratio of utilizing potentially toxic pharmacological agents under routine circumstances has to be carefully considered in light of the opportunities for marginal potential improvement [1]. However, given the increasing utilization of pneumatic retinopexy, which seems to have a lower initial retinal reattachment rate than conventional scleral buckling [2], the justification for the use of pharmacological agents may be increased. Some authors now propose primary vitrectomy without
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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
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New Possibilities 67 ing on type an
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Results 69 Table 4.7 (continued) Au
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Discussion 71 surgical failures. Fa
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Discussion 73 Disadvantages of PR A
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References 75 situations, then to p
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References 77 24. Tornambe PE, Hilt
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References 79 51. Pournaras CJ, Don
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Chapter 5 Vitrectomy for the Primar
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Indications 83 Table 5.1. Indicatio
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Indications 85 Fig. 5.2. The vitreo
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Surgical Technique 87 vitrectomy an
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Outcomes 89 will be visible under a
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Outcomes 91 almost no persistent su
Page 102 and 103: References 93 7. Heimann H, Bornfel
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Page 132 and 133: 124 c Fig. 6.14c 6 Minimal Segmenta
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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
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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
Page 176 and 177: Conclusion 169 vitrectomy and searc
Page 178 and 179: References 171 8. Brazitikos PD, D
Page 180 and 181: References 173 34. Gunduz K, Gunalp
Page 182 and 183: References 175 63. Schepens CL (195
Page 184 and 185: 178 9 Repair of Primary Retinal Det
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Page 200 and 201: Retinal Detachment Repair: Outlook
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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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