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Retinal Detachment Repair: Outlook for the Future 197 Fig. 10.6. Trans-scleral retinal imaging (scattering media) ous base area at high resolutions and will be particularly helpful in cases of small pupils, intraocular lenses with anterior capsular phimosis, and other conditions. A trans-scleral imaging probe could be used with topical anesthesia and would allow thorough examination of the peripheral retina at high magnification, similar to how ultrasound is currently used. Additional imaging techniques, which may be applicable to detect retinal breaks, include higher resolution and intraoperative ultrasound biomicroscopy that is easier to use (Fig. 10.7). Current techniques are limited by awkwardness of probe placement and large instrumentation; but, this should change in the future. The use of ultrasound will not actually visualize retinal breaks optically; however, clearly, breaks can be identified by ultrasound, particularly using high-resolution techniques. Ophthalmoscopic techniques that involve visualization of the retina through the optical media of the eye are also evolving;
198 10 Retinal Detachment Repair: Outlook for the Future Fig. 10.7. Ultrasound biomicroscopy images peripheral retinoschisis Fig. 10.8. Pseudo-color wide-angle scanning laser may allow screening for retinal detachment the wide-angle pseudo-color SLO and related techniques (Fig. 10.8) may allow noninvasive screening for retinal detachment by primary care health care providers, which will allow us to treat detachments prior to macular involvement [4]. Such wide-angle SLO devices currently do not allow reliable imaging of structures anterior to the equator of the globe; however, they can detect retinal detachment early and, if set up as easy to use screening devices, will allow
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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
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References 93 7. Heimann H, Bornfel
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96 6 Minimal Segmental Buckling Wit
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98 6 Minimal Segmental Buckling Wit
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100 the operating table with the re
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102 6 Minimal Segmental Buckling Wi
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106 a b 6 Minimal Segmental Bucklin
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114 a 6 Minimal Segmental Buckling
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122 c d 6 Minimal Segmental Bucklin
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124 c Fig. 6.14c 6 Minimal Segmenta
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Table 6.1. Preoperative characteris
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Table 6.3. Final attachment after m
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130 Choroidals In 4 of the 1,462 de
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Table 6.4. Visual acuity at 2 years
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140 Probably, the future question n
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Page 152 and 153: 144 6 Minimal Segmental Buckling Wi
Page 154 and 155: 146 7 Pharmacological Approaches to
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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 212 and 213: References 207 It is impossible to
Page 214 and 215: 210 C Campbell 7 case selection 57,
Page 216 and 217: 212 M Machemer 13 macular - complic
Page 218 and 219: 214 retinal - detachment - - bilate
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Primary Retinal Detachment

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