[Detachment surgery without drainage (author's transl)].

Abstract:

:Detachment surgery without drainage was introduced in 1953 by Custodis and modified by Lincoff. In this method the retinal hole determines the surgical procedure. Subretinal fluid will disappear by fixating an explant the sclera under tension in the area of the hole. The size of the explant depends upon the size of the retinal hole. Radial orientation of the buckle proves to be an optimal tamponade for a horseshoe tear. The change from traditional extensive circumferential buckles and cerclages to radial orientation of the buckle in the area of the hole is to be considered as a logical evolution in detachment surgery. From 1970--1977 there were treated 1000 consecutive detachments with cryopexy and elastic episcleral sponges. Non drainage was done in 93% of the time. The extension of the detachments ranged in 84% of the time from over 1 to 4 quadrants. The surgical procedure, however, consisted in 96% of the cases in segmental buckles with a preference for radial orientation. Cerclage was found to be useful in 4% of the time; an aphakic detachment was no longer an indication per se for an encircling procedure. Reattachment occured in 83% of the cases after one operation and in an additional 8% after reoperation. The complications with this procedure were minor, extraocular and reversibel. In 2,7% of the time an infection was observed around the explant. After removal of the buckles infection disappeared in every eye, re-detachment did occur in none of the eyes.

journal_name

Klin Monbl Augenheilkd

authors

Kreissig I

subject

Has Abstract

pub_date

1978-08-01 00:00:00

pages

140-9

issue

2

eissn

0023-2165

issn

1439-3999

journal_volume

173

pub_type

杂志文章
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    doi:

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    doi:

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    更新日期:1993-04-01 00:00:00

  • [Electroophthalmological characteristics in ischemic retinopathy (author's transl)].

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  • [Alternate day squint (author's transl)].

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  • [Diabetic lentopathy].

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  • [Ocular involvement in Whipple disease].

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    doi:

    authors: Vogt C,Greite JH,Hess J

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  • [Visual loss under silicone oil].

    abstract::Silicone oil is used as intravitreal tamponading agent in surgery for rhegmatogenous retinal detachment (RRD) cases complicated with proliferative vitreoretinopathy (PVR). Recently, a number of case series have appeared where profound central visual loss has been found in eyes after uncomplicated vitrectomy with silic...

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    更新日期:2010-03-01 00:00:00

  • [Electroretinography changes in carriers of X-chromosomal retinitis pigmentosa].

    abstract::Out of five families with pedigrees typical for X-linked retinitis pigmentosa (RP) the authors examined eight definite and eight possible female carriers. Subjective symptoms were mild and variable, consisting mainly of relative nyctalopia. Ophthalmoscopic examination revealed a normal fundus, or mild changes suggesti...

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    更新日期:1988-05-01 00:00:00

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    更新日期:1982-09-01 00:00:00

  • [Frequency and risk factors of intraocular pressure increase after penetrating keratoplasty].

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    更新日期:2000-08-01 00:00:00

  • [Complications after lid loading. Is the platinum chain really effective?].

    abstract:INTRODUCTION:Numerous studies on the operative therapy for lagophthalmos exist. Reports about postoperative results, however, are rare and most studies include just a small number of patients. Additionally, since 1999a flexible platinum chains has been available as an alternative to the rigid gold implant. The authors ...

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    更新日期:2008-02-01 00:00:00

  • [Aldose reductase inhibitor--a new way for preventing diabetic lens changes?].

    abstract::Increased blood sugar levels may influence the refractive power of the lens in juvenile diabetics, and can lead to the rare true diabetic cataract ("snow-storm cataract"). Surplus glucose induces accumulation of the sugar alcohol within the cells, thus generating disturbances of the osmotic balance and finally causing...

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    更新日期:1986-11-01 00:00:00

  • [The papilla and visual field in glaucoma. Relation between planimetrically determined papilla and visual field changes].

    abstract::From 126 patients with ocular hypertension and/or primary open-angle glaucoma, those (n = 18) who had an untreated intraocular pressure of at least 25 mm Hg or a cup/disk ratio of at least 0.8 were selected for this study. The course of the disease was followed by means of photos of the disk and visual field examinati...

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    authors: Cloux-Fey U,Gloor B,Jaeggi P,Hendrickson P

    更新日期:1986-08-01 00:00:00

  • [Familial cataract in plasma galactitol increase without known enzyme defect].

    abstract:BACKGROUND:Several enzyme defects of the galactose pathway may lead to cataract formation. We report on a family with familiar cataract. PATIENTS:A 2-year-old Turkish girl (daughter of first cousins) presented with dense cortical and subcapsular opacifications and mature cataract respectively. Bilateral phacectomy, pl...

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  • [Satisfaction of cataract patients].

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    更新日期:1996-10-01 00:00:00