Practical Guide to Minimal Surgery for Retinal Detachment by Ingrid Kreissig

By Ingrid Kreissig

Dr. Kreissig has spent a life-time refining and instructing the minimalized
approach to repairing retinal detachments. during this e-book, you'll get the
benefit of her adventure -- in an simply available, pocket-sized guide that
fits into your lab coat and is additionally excellent for bedside or workplace session.
The publication is the 1st hands-on consultant to the "art of buckling", i.e., using a
minimum of buckling with out vitrectomy for retinal reattachment. The textual content is
excellently illustrated and written in a discussion kind. From finishing the
preoperative examination to creating the analysis and selecting the surgical strategy,
this e-book presents the proof and guidance to effectively practice minimum
extraocular surgical procedure. It contains directions on discovering the retinal holiday in
phakic, aphakic and pseudophakic detachments the 4 principles to discover the first
break are provided at the again disguise for instant entry.

Ophthalmologists, fellows in retinal and vitreous surgical procedure, scholars and
residents will locate this information-packed guide crucial for diagnosing and
repairing retinal detachments.

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Read Online or Download Practical Guide to Minimal Surgery for Retinal Detachment Vol. 1: Minimal Surgery for Retinal Detachment: Diagnostics, Segmental Buckling without Drainage, Case Presentations PDF

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Additional info for Practical Guide to Minimal Surgery for Retinal Detachment Vol. 1: Minimal Surgery for Retinal Detachment: Diagnostics, Segmental Buckling without Drainage, Case Presentations

Sample text

With this noninvasive management, a primary vitrectomy was avoided in more than 9 out of 10 patients with an acute rhegmatogenous vitreous hemorrhage. ̈ Moreover, in a series of 100 patients with an idiopathic hemorrhage, it was found that every other hemorrhage was due to a posterior vitreous detachment. ̈ We therefore believe it is justifiable to regard every patient with an acute vitreous hemorrhage as an emergency requiring treatment by immediate double patching and elevation of the patient’s head—not by sending the patient first for a diabetic or hypertensive study, causing delays in treatment.

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. For this purpose, the patient lies flat on a stretcher and the head is tilted to either side, so that the detachment can be assigned to 1 of the 3 types.

Most likely the break or breaks will be on this, or close to it. Search for any tit or other irregularities along this line, as these often harbor the break. 2 Diagnostic Freezing at Special Points Diagnostic freezing can be carried out in these suspicious areas, limited to special points. b Never become obsessed with the idea that the break can be found by freezing—above all, the entire line of the hyaloidal insertion should not be frozen. Never overfreeze! At this point, one should be aware of the damage that can be inflicted on the retina and the vitreous, which can even provoke proliferative vitreoretinopathy.

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