(E) Circular buckle (so-called cerclage) with coagulations spread over the entire buckle and anterior to it with a starting redetachment descending anteriorly of the buckle. (D) Retinal break again starts to leak anteriorly, resulting in a redetachment anterior to the buckle, which subsequently crosses the various barriers of coagulations and finally progresses towards the posterior retina, resulting in redetachment. (C) Larger segmental plomb with the retinal break, being again positioned on the anterior edge of the buckle, surrounded with diathermy coagulations, additional coagulations on the entire buckle and several so-called coagulation barriers towards the ora serrata. (B) Retinal break starts to leak anteriorly since not supported sufficiently by the buckle, resulting in a redetachment anterior to the buckle, descending inferiorly and starting to redetach the posterior retina. (A) A segmental plomb, embedded into the scleral resection, with the retinal break positioned on the anterior edge of the buckle and with diathermy coagulations around the break. However, since the break was not tamponaded anteriorly, the break again started to leak, the detachment crossed the barricades of coagulations, descended behind the buckle, inferiorly crossed it, and redetached the posterior retina. In addition, to prevent future leakage of the break, several lines of coagulations were placed from the buckle towards the ora serrata. Subsequently, a plomb was embedded into the resection, thus creating a high wall (Figure (Figure5A–D). This time, however, a scleral resection was added in the area of the coagulations ( Figure 4). Therefore, again surgery with extensive coagulations was applied to provide a barricade posterior to the break. Another problem was–as experienced earlier–the precise localization of the break and the limiting of the coagulations to the area around the break. Reprinted with permission.Īgain, however, redetachment occurred, because the air had left the eye too early, before a sufficiently strong adhesion around the break had developed and, therefore, the break again started to leak. 2000, A Practical Guide to Minimal Surgery for Retinal Detachment: Temporary Tamponades with Balloon and Gases without Drainage, Buckling versus Gases versus Vitrectomy, Reoperation, Case Presentations, 10, p. Rosengren: Use of an intraocular air bubble to tamponade ab interno the break of the retinal detachment.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |