Practical Guide to Minimal Surgery for Retinal Detachment by Ingrid Kreissig

By Ingrid Kreissig

Dr. Kreissig has spent an entire life refining and educating the minimalized
approach to repairing retinal detachments. during this e-book, you'll get the
benefit of her event -- in an simply available, pocket-sized instruction manual that
fits into your lab coat and can be perfect for bedside or place of work session.
The ebook is the 1st hands-on consultant to the "art of buckling", i.e., making use of a
minimum of buckling with out 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 publication offers the proof and instructions to effectively practice minimum
extraocular surgical procedure. It comprises 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 instant 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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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

Example text

This is the rationale behind sustained double patching and elevation of the head. 3 Conservative Management Fig. 7 The blood in the retrohyaloidal space has settled inferiorly. To test whether it is clotted, the patient is placed in a supine position. As can be seen, the blood has not clotted, and it starts streaming toward the posterior pole within seconds. Double patching with elevation of the patient’s head has to be continued. The cryopexy lesions around the horseshoe tear at 1 o’clock are pigmented, and the retina is attached.

1 “Vitreous” hemorrhage. At the slit lamp examination, the vitreous is seen to be free of cells; the cells are in the retrohyaloidal space, obscuring the view of the retina. With a contact lens, the peripheral retina is visible, since in this area the vitreous is still attached and there are no retrohyaloidal blood cells obscuring the view. In the absence of vasculopathy in the other eye, what can the cause of the hemorrhage be? The most likely cause is a rhegmatogenous vitreous hemorrhage caused by a torn vessel or retinal tear, or both.

Is the vitreous detached? 2. Is the retina still attached? 3. Can the flap of a tear be detected? Next, examine the patient using biomicroscopy of the vitreous. If this shows that the vitreous gel is free of blood cells, it means the cells have collected on the posterior surface of the hyaloidal membrane, and are circulating in the retrohyaloidal space (Fig. 2). The retrohyaloidal space is a chamber filled with fluid (not gel), and the movements of the eye can maintain the red blood cells within it in suspension.

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