Retinal Detachment with Giant Retinal Tear
Giant retinal tears extend 90 degrees or more around the circumference of the eye. Those associated with giant retinal tears are the most severe rhegmatogenous retinal detachments. In most cases retinal detachment is associated with severe vitreous change
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Microsurgery of Retinal Detachment ~
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Second Edition
Mireille Bonnet, M.D. Professor and Chairman Department of Ophthalmology Croix-Rousse Hospital University of Lyon Lyon, France
Illustrated by Helene Bret
Springer-Verlag Berlin Heidelberg GmbH
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Copyright © 1989, Springer-Verlag Berlin Heidelberg Originally published by Field and Wood, Medical Publishers, Inc. in 1989 Softcover reprint ofthe hardcover 2nd edition 1989 AlI rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any other information storage and retrieval system, without permis sion in writing from the Publisher.
ISBN 978-3-662-08733-6 ISBN 978-3-662-08731-2 (eBook) DOI l0.1007/978-3-662-08731-2
Library of Congress Catalog Card Number: 89-080877
To my colleagues, residents, fellows, and visitors, of the Croix-Rousse Hospital Eye Clinic
"He who wishes to catch the exceptional fish must not be afraid of turbulent water." -Ingen Zengi (1592-1673)
Contents
Foreword Acknowledgments Introduction
IX Xl
1
I
Preoperative Examination 1. Examination of the Anterior Segment 2. Examination of the Posterior Segment 3. Systemic Examination
II
7 9 11 21
23
Instrumentation 4. The Surgical Microscope: Technical Equipment 5. Contact Lenses 6. Instruments
25 31 33
III Surgical Technique 7. 8. 9. 10. 11. 12. 13.
43
Fundus Examination During Surgery Surgical Steps Common to All Surgical Procedures Inducing a Retinochoroidal Scar Retinal Break Localization Scleral Buckling Intravitreal Gas Injection Vitreous Surgery
vii
45 51
73 85
89
115 133
Contents
viii
IV
Types of Retinal Detachment: Clinical Characteristics and Surgical Management 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25.
Retinal Detachment with Horseshoe Tears Retinal Detachment with Atrophic Round Holes in Lattice Degeneration Retinal Detachment with Retinal Dialysis Retinal Detachment with Giant Retinal Tear Retinal Detachment with Posterior Paravascular Tears Retinal Detachment with Macular Hole in Myopic Eyes Rhegmatogenous Retinal Detachment with Proliferative Vitreoretinopathy Aphakic and Pseudophakic Retinal Detachment Retinal Detachment Associated with Retinoschisis Retinal Detachment Complicating Proliferative Retinopathies Retinal Detachment After Penetrating Injury of the Eye Retinal Detachment Following Inflammatory Diseases
Index
155 157 173 183 195 213 217 231 255 263 269 285 299
305
Foreword
Microsurgery of Retinal Detachment is an important contribution to the practice of vitreoretinal surgery. In this comprehensive volume, Dr. Bonnet shares her extensive experience in the management of conditions ranging from retinal tears and primary retinal detachment to giant retinal breaks and vitreoretinal surgery. The field of microsurgery has continued to evolve over the last twenty years, both for the anterior segment surgeon an
