A practical guide to minimal surgery for retinal detachment: 1 Diagnostics, segmental buckling without drainage, case presentations
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Stuttgart [u.a.]
Thieme
2000
|
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XII, 288 S. Ill., graph. Darts. |
| ISBN: | 3131110619 0865777810 |
Internformat
MARC
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| 100 | 1 | |a Kreissig, Ingrid |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a A practical guide to minimal surgery for retinal detachment |n 1 |p Diagnostics, segmental buckling without drainage, case presentations |c Ingrid Kreissig |
| 264 | 1 | |a Stuttgart [u.a.] |b Thieme |c 2000 | |
| 300 | |a XII, 288 S. |b Ill., graph. Darts. | ||
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Datensatz im Suchindex
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VIII
Contents
1 Rhegmatogenous Retinal Detachment 1
1.1 Introduction 2
1.2 Vitreous Body 2
1.3 Precursors of Rhegmatogenous Retinal Detachment . 2
1.4 Characteristics of Rhegmatogenous Retinal
Detachment 3
References 6
2 Preoperative Examination 7
2.1 How to Find the Break or Breaks 8
2.2 The 4 Rules to Find the Primary Break 13
2.2.1 Superior Temporal or Nasal Detachments . 13
2.2.2 Total or Superior Detachments that Cross the
12 o'clock Meridian 16
2.2.3 Inferior Detachments 17
2.2.4 "Inferior" Bullous Detachments 17
2.3 Some Special Types of Detachment 18
2.3.1 Inferior Detachment with a Hole at 6 o'clock. 18
2.3.2 Inferior Detachment in Presence of a Buckle . 20
2.3.3 "Total" Detachment 20
2.3.4 Mixed Detachment with Convex and Concave
Components 23
2.4 Summary 25
3 Acute Rhegmatogenous Vitreous Hemorrhage 27
3 1 Precursors of Retinal Detachment in the Presence
or Vitreous Hemorrhage 28
3.2 Topography of Acute "Vitreous" Hemorrhage"!. 28
A3 Conservative Management 30
A* Clinical Study and Results 37
J 5 Summary 3g
References !!!!!!!!" 40
Contents IX
4 Rhegmatogenous Retinal Detachment "without" a Break. 41
4.1 Characteristics of a Rhegmatogenous Retinal
Detachment 42
4.2 Optical Problems in the Search for the Retinal Break. 43
4.2.1 Hazy Media 43
4.2.2 Pupillary Obstruction 43
4.3 Techniques for Finding a Tiny Break 45
4.3.1 Define the Borders of the Retinal
Detachment 45
4.3.2 Use Special Magnification 45
4.4 Intraoperative Techniques for Finding a Tiny Break . 46
4.4.1 Re study the Retinal Periphery
with Depression 46
4.4.2 Diagnostic Freezing at Special Points 47
4.4.3 Diagnostic Balloon in the Area of Suspicion . 47
4.4.4 Prospective Segmental Buckling 48
4.4.5 Diagnostic Expanding Gas Bubble
(Descending or Ascending) 53
4.4.6 Vitrectomy in Conjunction with Heavy
Perfluorocarbon Liquids 58
4.5 Summary 59
References 60
5 Differential Diagnosis: Rhegmatogenous versus
Nonrhegmatogenous Retinal Detachments 63
5.1 Peripheral Retinal Elevations 64
5.1.1 Cystoid Degeneration 64
5.1.2 Degenerative Retinoschisis 66
5.1.3 Edema 69
5.2 Central Elevations 71
5.2.1 Macular Full Thickness versus Lamellar Hole . 71
5.2.2 Ischemic Edema 73
5.2.3 Optic Pit Maculopathy 75
5.2.4 Tractional Retinal Detachment 76
5.2.5 Tractional Retinal Schisis 80
5.2.6 Clinical Study 82
5.3 Dependent Retinal Elevations 82
5.3.1 Exudative Detachments 82
References 85
X Contents 6 The Fellow Eye 87
6.1 Diagnostic Procedures 88
6.2 Epidemiology 89
6.3 Prophylactic Treatment 90
Reference 92
7 Cryosurgery 93
7.1 Cryosurgery in Relation to Retinal Detachment
Surgery 94
7.2 Research and Development in Cryosurgery 96
7.2.1 Dosage of Thermal Applications 97
7.2.2 Adhesive Strength of Thermal Lesions 98
7.2.3 Development of Adhesive Strength
over Time 99
7.2.4 Ophthalmoscopic Appearance of
Cryosurgical Lesions 101
7.2.5 Histology of Cryopexy Lesions 102
7.2.6 Summary 108
7.3 Remodeling of the Cryosurgical Adhesion over Time . 109
7.4 Basic Information for the Detachment Surgeon
from Thermal Experiments H6
7.5 Clinical Application of Cryosurgery (Cryopexy) 118
7.5.1 Mechanics of the Cryoprobe 118
7.5.2 Techniques of Cryosurgery 118
7.5.3 Using the Cryoprobe to Localize Breaks 120
7.5.4 Complications of Cryopexy 122
References 123
8 Segmental Buckling without Drainage:
Minimal Extraocular Surgery for Retinal Detachments 125
8.1 Principle of the Nondrainage Operation 126
8.2 Preoperative Management of Segmental Buckling
without Drainage 127
8.3 Anesthesia 128
8.4 Instrumentation and Surgical Technique 128
8.5 Orientation of the Segmental Buckle I38
8.6 Application of Nondrainage I44
8.6.1 Small Detachment 144
8.6.2 Extensive Bullous Detachment I47
Contents XI
8.6.3 Total Detachment 149
8.6.4 Uncertain Localization of a Posterior Break
in a Bullous Detachment 152
8.6.5 Old Detachment 155
8.6.6 Phakia or Pseudophakia 158
8.6.7 Reoperation 161
8.6.8 Multiple Breaks 162
8.7 Optimal Tamponade for Multiple Breaks 163
8.7.1 2 Breaks Less Than 11/2 Clock Hours Apart
in a 3 Quadrant Detachment 163
8.7.2 3 Breaks in a 3 Quadrant Detachment 165
8.7.3 Multiple Breaks in a 1 ^ Quadrant
Detachment 167
8.7.4 Multiple Breaks of Various Sizes in a
lV2 Quadrant Detachment 170
8.7.5 1 Break in a 3 Quadrant Detachment with
Moderate Proliferative Vitreoretinopathy 173
8.7.6 Group of Breaks in a 3 Quadrant Detachment
with Moderate Proliferative
Vitreoretinopathy 177
8.8 Tamponade for Large Tears or Multiple Breaks
(at Different Latitudes) over 40° 70° in Circum¬
ferential Arc 179
8.8.1 Introduction 179
8.8.2 Scleral Pouch 181
8.8.3 Clinical Study 181
8.8.4 Technique 184
8.8.5 Results 187
8.8.6 Summary 189
8.9 Tears over 70° in Circumferential Arc 190
8.10 Tamponade of Oral Disinsertions (Retinal
Dialyses) 191
8.11 Application of Cerclage 195
8.11.1 Early Complications after Cerclage 199
8.11.2 Late Complications after Cerclage 200
8.11.3 Conclusions 201
8.12 Retinal Detachment: An Emergency 204
8.12.1 Clinical Study 206
8.12.1.1 Visual Function 206
8.12.1.2 Conclusions 210
XII Contents
8.13 Residual Retinal Detachment after Nondrainage
Operation 212
8.13.1 Differential Diagnosis 213
8.13.1.1 Convex Residual Detachment 213
8.13.1.2 Concave Residual Detachment 216
8.13.1.3 Convex Rhegmatogenous Residual
Detachment 218
8.13.2 Clinical Study 222
8.13.3 Summary 223
8.14 Complications 224
8.14.1 Early Signs of Buckle Infection 227
8.14.2 Late Signs of Buckle Infection 227
8.15 Anatomical Results and Reasons for Failure 231
8.15.1 Introduction 231
8.15.2 First Clinical Study 232
8.15.3 Second Clinical Study 236
8.15.4 Summary 241
8.16 Functional Results 243
8.16.1 Background 243
8.16.2 Clinical Study 244
8.17 Conclusion 251
8.18 Retinal Detachments with Proliferative
Vitreoretinopathy Grades B, Cl, and C2 252
8.18.1 Classification of Proliferative
Vitreoretinopathy 252
8.18.2 Treatment of Retinal Detachments
with PVR Grades B, Cl, and C2 257
8.18.3 Clinical Study 259
8.18.4 Discussion 274
8.18.5 Conclusion 277
8.19 Summary 278
References 279
Index 283 |
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| illustrated | Illustrated |
| indexdate | 2024-12-20T09:00:33Z |
| institution | BVB |
| isbn | 3131110619 0865777810 |
| language | English |
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| spelling | Kreissig, Ingrid Verfasser aut A practical guide to minimal surgery for retinal detachment 1 Diagnostics, segmental buckling without drainage, case presentations Ingrid Kreissig Stuttgart [u.a.] Thieme 2000 XII, 288 S. Ill., graph. Darts. txt rdacontent n rdamedia nc rdacarrier (DE-604)BV013094213 1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008918374&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Kreissig, Ingrid A practical guide to minimal surgery for retinal detachment |
| title | A practical guide to minimal surgery for retinal detachment |
| title_auth | A practical guide to minimal surgery for retinal detachment |
| title_exact_search | A practical guide to minimal surgery for retinal detachment |
| title_full | A practical guide to minimal surgery for retinal detachment 1 Diagnostics, segmental buckling without drainage, case presentations Ingrid Kreissig |
| title_fullStr | A practical guide to minimal surgery for retinal detachment 1 Diagnostics, segmental buckling without drainage, case presentations Ingrid Kreissig |
| title_full_unstemmed | A practical guide to minimal surgery for retinal detachment 1 Diagnostics, segmental buckling without drainage, case presentations Ingrid Kreissig |
| title_short | A practical guide to minimal surgery for retinal detachment |
| title_sort | a practical guide to minimal surgery for retinal detachment diagnostics segmental buckling without drainage case presentations |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008918374&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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