Practical Guide to Minimal Surgery for Retinal Detachment by Ingrid Kreissig

By Ingrid Kreissig

Dr. Kreissig has spent an entire life refining and instructing the minimalized
approach to repairing retinal detachments. during this publication, you'll get the
benefit of her event -- in an simply obtainable, pocket-sized guide that
fits into your lab coat and is usually perfect for bedside or place of work session.
The publication is the 1st hands-on consultant to the "art of buckling", i.e., utilizing 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 prognosis and selecting the surgical process,
this publication offers the evidence and directions to effectively practice minimum
extraocular surgical procedure. It contains directions on discovering the retinal holiday in
phakic, aphakic and pseudophakic detachments the 4 ideas to discover the first
break are provided at the again conceal for fast entry.


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

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

Example text

Latitude of prospective segmental buckle b When the insertion of the anterior hyaloidal membrane can be identified: – In this type of detachment, the prospective segmental buckle should be placed at the line of insertion of the anterior hyaloidal membrane. – What size of sponge should be selected? You might use the 3 x 5 mm oval sponge, held in place with mattress sutures 7 mm wide. This will buckle an undetected break that might be 3 mm anterior or posterior to the line of the insertion of the anterior hyaloidal membrane.

2 Sagittal section of an eye with acute “vitreous” hemorrhage. The vitreous gel is free of cells. There are red blood cells coating the external surface of the hyaloidal membrane and circulating in the retrohyaloidal space, obscuring the view of the retina (cf. Fig. 1). Fig. 3 Sagittal section of an eye after double patching and elevation of the patient’s head for several hours. The blood cells have settled to the bottom of the retrohyaloidal space. It is now possible to examine the retina to see whether there is a tear (cf.

31 32 3 Acute Rhegmatogenous Vitreous Hemorrhage Fig. 4 View of the retina after double patching and elevation of the patient’s head for several hours. The blood has settled to the bottom, and collected in the area of the vitreous attachment. A horseshoe tear at 1 o’clock becomes visible, and can now be treated. b– – If the edges of the tear are attached, treat it straight away using laser coagulation or cryopexy (Fig. 5). If the facilities are not available, the patient should be sent elsewhere for treatment right away double patched.

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