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 adventure -- in an simply obtainable, pocket-sized guide that
fits into your lab coat and can be excellent for bedside or workplace session.
The publication is the 1st hands-on consultant to the "art of buckling", i.e., employing a
minimum of buckling with no vitrectomy for retinal reattachment. The textual content is
excellently illustrated and written in a discussion variety. From finishing the
preoperative examination to creating the prognosis and selecting the surgical strategy,
this ebook offers 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 ideas to discover the first
break are awarded 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 info 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

References 1. Lincoff H, Kreissig I. The conservative management of vitreous hemorrhage. Trans Am Acad Ophthalmol Otolaryngol 1975; 19: 858−64. 2. Lincoff H. Guilty until proven innocent. Arch Ophthalmol 1967; 78: 271. 3. Kreissig I, Lincoff H, Wolkstein M. Clinical report of a conservative management in treating acute vitreous haemorrhage. Klin Monatsbl Augenheilkd 1977; 170: 1−9. 4 Rhegmatogenous Detachment “without” a Break 4 Rhegmatogenous Retinal Detachment “without” a Break 41 42 4 Rhegmatogenous Detachment “without” a Break A retinal detachment in which a break is not found is a problem.

If the patient is laid on the opposite side (with the 3 o’clock side in the dependent position), the contour in the 3 o’clock area will not change. This example demonstrates the importance of defining the “real” borders of a detachment, which then indicate the area of the primary break. Therefore: Primary Break: Rule 4 Inferior bullae in rhegmatogenous detachments originate from a superior break (Fig. 6 b). 9 shows another type of inferior detachment. In this instance, the borders are symmetrical to 6 o’clock, and the detachment is not bullous.

At 13 mm from the limbus (phakic) or 12 mm (aphakic or pseudophakic) from the limbus—the latitude that has the best chance of harboring the undetected break. If the retina reattaches the next day, then the break was buckled. b It should not be forgotten that interrupted laser lesions must be applied over the entire length of the prospective segmental buckle. This is to secure the tamponaded, but “undetected” break or breaks on it.

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