Retinal Detachment Surgery

Retinal Detachment Surgery

by Anthony H. Chignell

Paperback(2nd ed. 1988. Softcover reprint of the original 2nd ed. 1988)

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Product Details

ISBN-13: 9781447116233
Publisher: Springer London
Publication date: 05/03/2013
Edition description: 2nd ed. 1988. Softcover reprint of the original 2nd ed. 1988
Pages: 162
Product dimensions: 6.69(w) x 9.61(h) x (d)

Table of Contents

1. Pathogenesis, Predisposing Factors, Presentation and Methods of Examination.- Definition.- Pathogenesis.- The Vitreous.- Retinal Breaks.- Retinal Detachment.- Natural History.- Predisposing Factors.- Rhegmatogenous Retinal Detachment.- Classical Symptoms.- Other Symptoms.- Techniques of Examination.- Indirect Ophthalmoscopy and Scleral Depression.- Direct Ophthalmoscopy.- Visual Fields.- Other Investigations.- References.- 2. Preoperative Examination.- Initial Slit-Lamp Examination.- Cornea.- Anterior Chamber.- Iris.- Lens.- Retrolental Space.- Anterior Vitreous.- Indirect Ophthalmoscopy of the Posterior Segment.- Anatomical Landmarks.- Details of Retinal Detachment.- Peripheral Retinal Degenerations.- Benign Peripheral Lesions.- Lesions That May Predispose to Retinal Detachment.- Retinoschisis.- Three-Mirror Examination.- Angle of Anterior Chamber.- Vitreous.- Retinal Details and Vitreo-retinal Relationships.- Characteristics of Various Types of Retinal Detachment.- Aphakic Detachment.- Dislocated or Subluxated Lenses.- Retinal Dialysis.- Giant Retinal Breaks.- Macular Breaks.- Retinoschisis Complicated by Detachment.- Uveal Colobomas.- Differential Diagnosis of Rhegmatogenous Retinal Detachment.- Retinoschisis and Retinal Detachment.- Non-rhegmatogenous and Rhegmatogenous Retinal Detachment.- References.- 3. Preoperative Management and Operative Planning.- Preoperative Management.- Immobihsation of the Eye.- Medical Treatment.- Removal of Infected Buckles.- Selection of Operative Procedure.- Methods of Adhesion.- Scleral Buckles.- Non-drainage Operation.- Indications for the Drainage of Subretinal Fluid.- Intravitreal Injections.- Conventional Surgery in Special Cases.- Rhegmatogenous Detachment Without Apparent Breaks.- Retinoschisis Complicated by Retinal Detachment.- Retinal Detachment Complicated by Proliferative Vitreoretinopathy.- Indications for Vitrectomy.- Prophylactic Surgery.- Retinal Breaks.- Retinal Degenerations.- Other Indications.- Summary.- References.- 4. Surgical Details.- Initial Dissection.- The Lids.- The Cornea.- Conjunctival Incision.- Isolation of Muscles and Exposure of Sclera.- Order of Procedure.- Cryotherapy.- Operative Complications.- Localisation of Retinal Breaks.- Buckle Sutures.- Placement.- Local Explants.- Encircling Bands.- Combined Local and Encircling Procedures.- Handling a Sponge Explant.- Drainage of Subretinal Fluid.- Selecting a Site.- Technique.- Complications.- Tightening the Buckle Sutures.- Problems in Placing the Buckle.- Intravitreal Injection of Gas.- Technique.- Operative Complications.- Closure of the Wound.- Methods of Prophylactic Treatment.- Laser Phooagulation.- Cryotherapy.- Complications.- References.- 5. Postoperative Management, Complications and Failure.- Mobihsation.- External Signs.- Postoperative Activity.- Recovery of Vision.- The Cryotherapy Lesion.- Behaviour of Subretinal Fluid.- Early Complications.- Sudden Blindness.- Infection.- Previous Corneal Grafts.- Anterior Segment Ischaemia.- Sterile Uveitis.- Glaucoma.- Postoperative CompUcations of Intravitreal Gas.- Choroidal Detachment.- Vitreous Haemorrhage.- Exudative Retinal Detachment.- Late Comphcations.- Cosmesis.- Explant Extrusion and Infection.- Intraocular Erosion of Explants.- Postoperative Pain.- Postoperative Diplopia.- Refractive Changes.- Intraocular Changes.- Failure in Retinal Detachment Surgery.- Surgery of Failed Cases.- Follow-up of Patients.- References.

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