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AuthorChignell, A. H. author
TitleRetinal Detachment Surgery [electronic resource] / by A. H. Chignell
ImprintLondon : Springer London, 1988
Edition Second Edition
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Descript XII, 162 p. online resource


Recent developments in the field of retinal detachment surgery have called for a substantial revision of the previous edition of this text. The most significant advances have focused around the increased use of pars plana vitrectomy and of various intraocular gases. The illustrations have also been improved, including more colour material, and the references have been revised and supplemented where indicated. The basic format of the first edition has, nevertheless, been adhered to: namely, a concise textbook on retinal detachment surgery which will enable the reader to attain a sequential approach to the examination and treatment of patients with retinal detachment. The clear presentation will benefit those in training as well as the more experienced general ophthalmologist who normally does not specialize in vitreo-retinal surgery, but who has to cope with retinal detachment surgical problems


1. Pathogenesis, Predisposing Factors, Presentation and Methods of Examination -- Definition -- Pathogenesis -- Rhegmatogenous Retinal Detachment -- Techniques of Examination -- References -- 2. Preoperative Examination -- Initial Slit-Lamp Examination -- Indirect Ophthalmoscopy of the Posterior Segment -- Peripheral Retinal Degenerations -- Three-Mirror Examination -- Characteristics of Various Types of Retinal Detachment -- Differential Diagnosis of Rhegmatogenous Retinal Detachment -- References -- 3. Preoperative Management and Operative Planning -- Preoperative Management -- Selection of Operative Procedure -- Conventional Surgery in Special Cases -- Indications for Vitrectomy -- Prophylactic Surgery -- References -- 4. Surgical Details -- Initial Dissection -- Order of Procedure -- Cryotherapy -- Localisation of Retinal Breaks -- Buckle Sutures -- Drainage of Subretinal Fluid -- Tightening the Buckle Sutures -- Intravitreal Injection of Gas -- Closure of the Wound -- Methods of Prophylactic Treatment -- References -- 5. Postoperative Management, Complications and Failure -- Mobihsation -- External Signs -- Postoperative Activity -- Recovery of Vision -- The Cryotherapy Lesion -- Behaviour of Subretinal Fluid -- Early Complications -- Late Comphcations -- Failure in Retinal Detachment Surgery -- References

Medicine Ophthalmology Medicine & Public Health Ophthalmology


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