By Ingrid Kreissig
Ophthalmologists, fellows in retinal and vitreous surgical procedure, scholars and citizens will locate this information-packed guide crucial for diagnosing and repairing retinal detachments. Reserve your reproduction today!
Read Online or Download A Practical Guide to Minimal Surgery for Retinal Detachment, Volume 1: Diagnostics, Segmental Buckling without Drainage, Case Presentations PDF
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Additional info for A Practical Guide to Minimal Surgery for Retinal Detachment, Volume 1: Diagnostics, Segmental Buckling without Drainage, Case Presentations
3 Inferior Detachments This type of detachment also has a convex surface, but it is not as bullous as the inferior portion of the 2 previous types of superior detachments. , below the 9 o’clock and 3 o’clock meridian, and the detachment is more likely to be shallow, because there is less gravitational pull on the subretinal fluid. The inferior detachment progresses slowly, if at all, and as a result it may develop pigment demarcation lines at areas of prolonged arrest. The retina may become atrophic, and intraretinal cysts may develop.
It should be 45 46 4 Rhegmatogenous Detachment “without” a Break Fig. 2 Indirect wide-field contact lenses by Mainster (left) and Volk: QuadrAspheric (middle), Equator Plus Scanning Fundus lens for small pupil, developed by Lincoff (right). borne in mind, however, that scleral depression of the periphery is essential with both the direct and indirect contact lens systems in order to detect a tiny break in the periphery. What should be done if the break can still not be found after repeated and meticulous examinations?
45 and 46). 43 44 4 Rhegmatogenous Detachment “without” a Break Fig. 1 Pupillary obstruction by a secondary cataract (Photo courtesy of H. Lincoff, M. ). a The opaque posterior capsule is obscuring the view to the retina. Fig. 1 b Posterior capsule after cataract operation is clearly outlined by retrograde illumination. 1 Define the Borders of the Retinal Detachment After the borders of the detachment have been determined, follow the 95% Rules [1, 2], which define the area in which the primary break is most likely to be found.