1. Production, Characteristics and Methods of Examining Retinal Detachment --;Pathogenesis --;Rhegmatogenous Retinal Detachment --;Examination Techniques --;Normal Details of the Posterior Segment --;References --;2. Preoperative Examination --;Initial Slit-lamp Examination --;Indirect Ophthalmoscopy of the Posterior Segment --;Peripheral Retinal Degenerations --;Three-Mirror Examination --;Characteristics of Types of Retinal Detachment --;Differential Diagnosis of a Rhegmatogenous Retinal --;Detachment --;References --;3. Preoperative Management and Planning of Operation --;Preoperative Management --;Selection of Operative Procedure --;Selection of Operation in Special Cases --;Prophylactic Surgery --;References --;4. Surgical Details --;Initial Dissection --;Cryotherapy --;Locahsation of Retinal Holes --;Buckle Sutures --;Drainage of Subretinal Fluid --;Tightening the Buckle Sutures --;Special Surgical Procedures --;Closure of the Wound --;Methods of Prophylactic Treatment --;References --;5. Postoperative Management and Complications --;General Management --;Recovery of Vision --;Behaviour of Subretinal Fluid --;Early CompUcations --;Late Complications --;Failure in Retinal Detachment Surgery --;References.
SUMMARY OR ABSTRACT
Text of Note
This short book is an account of an approach to retinal detach ment surgery. I hope it will be of use to all those dealing with the detached retina, although it has been written mainly for the training ophthalmologist, who, becoming familiar with the methods of examination, is faced with a bewildering array of methods of treating the detached retina. The object of surgery is to produce the desired result in the least traumatic way possible and this involves correct interpretation of how the detached retina is likely to respond to the operation that is planned. I have therefore concentrated on the aspects of clinical examination that have a direct bearing on the planning of the type of operation to be performed. I have not attempted to deal with all the different surgical techniques currently practised, but have described only those that I believe represent the simplest, safest, and most effec tive methods. I have drawn widely on standard techniques; thus, for examination, Schepens' indirect ophthalmoscopy with scleral depression, Lincoffs use of cryotherapy and his modification of Custodis' non-drainage techniques at operation and Rosen gren's use of intraocular air. Because this book is not intended for the retinal surgical expert I have not dealt in great depth with rare cases, e. g. macular holes, or other conditions that are exceptionally difficult to treat (massive periretinal proliferation).