Preoperative Examination

  • A. H. Chignell

Abstract

The initial examination is that of the anterior segment, which is conducted at the slit lamp; this is followed by examination of the posterior segment by indirect ophthalmoscopy and scleral depression. The patient is then returned to the slit lamp for three-mirror examination.

Keywords

Cellulose Dust Retina Flare Glaucoma 

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References

  1. 1.
    Forstot SL, Binder PS, Fitzgerald C, Kaufman HE (1975) The incidence of retinal detachment after penetrating keratoplasty. Am J Ophthalmol 80:102–105PubMedGoogle Scholar
  2. 2.
    Tulloh CG (1972) The aqueous flow and permeability of the blood aqueous barrier in retinal detachment. Trans Ophthalmol Soc UK 92:585–611PubMedGoogle Scholar
  3. 3.
    Schwartz A (1973) Chronic open angle glaucoma secondary to rhegmatogenous retinal detachment. Am J Ophthalmol 75:205–211PubMedGoogle Scholar
  4. 4.
    Phelps CD, Burton TL (1977) Glaucoma and retinal detachment. Arch Ophthalmol 95:418–422PubMedCrossRefGoogle Scholar
  5. 5.
    Brockhurst RJ, Schepens CL (1968) Uveitis: peripheral uveitis, the comphcation of retinal detachment. Arch Ophthalmol 80:747–753PubMedCrossRefGoogle Scholar
  6. 6.
    Norton EWD (1976) Management of retinal detachment in patients with intra-ocular lenses. Trans Am Acad Ophthalmol Otolaryngol 80:135–136Google Scholar
  7. 7.
    Shafer DM (1965) In: Schepens CL, Regan CDJ (eds) Controversial aspects of the management of retinal detachment. Churchill Livingstone, London, p 51Google Scholar
  8. 8.
    Hamilton AM, Taylor W (1972) Significance of pigment granules in the vitreous. Br J Ophthalmol 56:700–702PubMedCrossRefGoogle Scholar
  9. 9.
    Hogan MJ (1975) Inflammation and its effect on the vitreous. Trans Ophthalmol Soc UK 95:378–381PubMedGoogle Scholar
  10. 10.
    Straatsma BR, Landers MB, Kreiger AE (1968) The ora serrata in the adult human eye. Arch Ophthalmol 80:3–20PubMedCrossRefGoogle Scholar
  11. 11.
    Spencer LM, Foos RY, Straatsma BR (1970) Meridional folds, meridional complexes and associated abnormahties of the peripheral retina. Am J Ophthalmol 70:697–714Google Scholar
  12. 12.
    Okun E (1961) Gross and microscopic pathology in autopsy eyes. Part IV. Pars plana cysts. Am J Ophthalmol 51:1221–1228PubMedGoogle Scholar
  13. 13.
    Tulloh CG (1965) Distribution of holes and tears in primary retinal detachment. Br J Ophthalmol 49:413–431PubMedCrossRefGoogle Scholar
  14. 14.
    Chignell AH, Markham RHC (1978) Buckling procedures and drainage of subretinal fluid. Trans Ophthalmol Soc UK 91:474–477Google Scholar
  15. 15.
    Kirkby GR, Chignell AH (1985) Shifting subretinal fluid in rhegmatogenous retinal detachment. Br J Ophthalmol 69:654–656PubMedCrossRefGoogle Scholar
  16. 16.
    Chignell AH (1977) Retinal mobility and retinal detachment surgery. Br J Ophthalmol 61:446–450PubMedCrossRefGoogle Scholar
  17. 17.
    Ehrenberg M, Thresher RJ, Machemer R (1984) Vitreous haemorrhage non-toxic to retina as a stimulator of glial and fibrous proliferation. Am J Ophthalmol 97:611–626PubMedGoogle Scholar
  18. 18.
    Miller B, Miller H, Ryan SJ (1986) Experimental epiretinal proliferation induced by intravitreal red blood cells. Am J Ophthalmol 102:188–196PubMedCrossRefGoogle Scholar
  19. 19.
    Percival SPB (1972) Late complications from posterior segment. Intraocular foreign bodies. Br J Ophthalmol 56:462–468PubMedCrossRefGoogle Scholar
  20. 20.
    Chignell AH, Fison LG, Davies EWG, Hartley RE, Gundry MF (1973) Failure in retinal detachment surgery. Br J Ophthalmol 57:525–530PubMedCrossRefGoogle Scholar
  21. 21.
    Gottlieb F (1972) Combined choroidal and retinal detachment. Arch Ophthalmol 88:112–125CrossRefGoogle Scholar
  22. 22.
    Seelenfreund MH, Kraushar MF, Schepens CL, Freilich DB (1974) Choroidal detachment associated with primary retinal detachment. Arch Ophthalmol 91:254–258PubMedCrossRefGoogle Scholar
  23. 23.
    Hagler WS, North AW (1967) Intra-retinal macrocysts and retinal detachment. Trans Am Acad Ophthalmol Otolaryngol 71:442–454PubMedGoogle Scholar
  24. 24.
    Wallyn RH, Hilton GF (1979) Subretinal fibrosis in retinal detachment. Arch Ophthalmol 97:2128–2129PubMedCrossRefGoogle Scholar
  25. 25.
    O’Malley P, Allen RA, Straatsma BR, O’Malley CC (1965) Pavingstone degeneration of the retina. Arch Ophthalmol 73:169–182PubMedCrossRefGoogle Scholar
  26. 26.
    Rutnin U, Schepens CL (1967) Fundus appearances in normal eyes. IV. Retinal breaks and other findings. Am J Ophthalmol 64:1063–1078PubMedGoogle Scholar
  27. 27.
    Watzke RL (1961) The ophthalmoscopic sign “white with pressure” — a clinico-pathologic correlation. Arch Ophthalmol 66:812–823PubMedCrossRefGoogle Scholar
  28. 28.
    Karlin B, Curtin BJ (1973) Axial length measurements and peripheral fundus changes in the myopic eye. In: Pruett RC, Regan CDJ (eds) Retinal congress. Appleton-Century-Crofts, New York, pp 629–642Google Scholar
  29. 29.
    Nagpal KC, Huamonte F, Constantaras A, Asdourian G, Goldberg MF (1976) Migratory white without pressure retinal lesion. Arch Ophthalmol 94:576–579PubMedCrossRefGoogle Scholar
  30. 30.
    Gonin J (1934) Le décollement de la rétine: pathogénie: traitement. Librairie Payot, LausanneGoogle Scholar
  31. 31.
    Vogt A (1936) Die operative Therapie und die Pathogenese der Netzhautablösung. Enke, Stuttgart, pp 199–207, 223Google Scholar
  32. 32.
    Meyer-Schwickerath L (1960) Light coagulation. Mosby, St. LouisGoogle Scholar
  33. 33.
    Okun E (1966) Histopathology of changes which precede retinal detachment. Mod Probl Ophthalmol 4:76–97Google Scholar
  34. 34.
    Schepens CL (1952) Symposium: retinal detachment; diagnostic and prognostic factors as found in preoperative examination. Trans Am Acad Ophthalmol Otolaryngol 56:398–418PubMedGoogle Scholar
  35. 35.
    Allen RA, Straatsma BR (1966) The pathology of lattice degeneration of the retina. Mod Probl Ophthalmol 4:49–66Google Scholar
  36. 36.
    Straatsma BR, Seeren PD, Foos RY, Feman SS, Shabo AL (1974) Lattice degeneration of the retina. Am J Ophthalmol 77:619–649PubMedGoogle Scholar
  37. 37.
    Straatsma BR, Allen RA (1962) Lattice degeneration of the retina. Trans Am Acad Ophthalmol Otolaryngol 66:600–613PubMedGoogle Scholar
  38. 38.
    Morse PH (1974) Lattice degeneration of the retina and retinal detachment. Am J Ophthalmol 78:930–934PubMedGoogle Scholar
  39. 39.
    Byer NE (1974) Changes in and progress of lattice degeneration of the retina. Trans Am Acad Ophthalmol Otolaryngol 78:114–125Google Scholar
  40. 40.
    Lemcke HH, Pischel DK (1966) The time interval in the development of lattice degeneration of the retina. Am J Ophthalmol 61:1216–1221PubMedGoogle Scholar
  41. 41.
    Aaberg TM, Stevens TR (1972) Snail track degeneration of the retina. Am J Ophthalmol 73:370–376PubMedGoogle Scholar
  42. 42.
    Byer NE (1981) Cystic retinal tufts and their relationship to retinal detachment. Arch Ophthalmol 99:1788–1790PubMedCrossRefGoogle Scholar
  43. 43.
    Straatsma BR, Foos RY (1973) Typical and reticular degenerative retinoschisis. Am J Ophthalmol 75:551–575PubMedGoogle Scholar
  44. 44.
    Byer NE (1968) Clinical study of senile retinoschisis. Arch Ophthalmol 79:36–44PubMedCrossRefGoogle Scholar
  45. 45.
    Byer NE (1976) The natural history of senile retinoschisis. Trans Am Acad Ophthalmol Otolaryngol 81:458–471Google Scholar
  46. 46.
    Broderick JD, Wyatt HT (1973) Hereditary sex linked retinoschisis. Br J Ophthalmol 57:551–559CrossRefGoogle Scholar
  47. 47.
    Brockhurst RJ (1970) Photocoagulation in congenital retinoschisis. Arch Ophthalmol 84:158–165PubMedCrossRefGoogle Scholar
  48. 48.
    Ruiz RS (1971) Giant cyst of the pars plana. Am J Ophthalmol 72:481–482PubMedGoogle Scholar
  49. 49.
    Dobbie JG, Phillips CI (1962) Detachment of ora serrata and pans ciliaris retinae in idiopathic retinal detachment. Arch Ophthalmol 68:610–614PubMedCrossRefGoogle Scholar
  50. 50.
    Tasman W (1968) Retinal detachment with breaks in the pars plana. Am J Ophthalmol 52:181–183Google Scholar
  51. 51.
    Hruby K (1960) Clinical observations of vitreous changes. In: Schepens CL (ed) Importance of the vitreous body in retinal surgery with special emphasis on reoperations. CV Mosby, St. Louis, pp 94–111Google Scholar
  52. 52.
    Eisner G (1973) Biomicroscopy of the peripheral fundus. Springer, Berhn Heidelberg New YorkGoogle Scholar
  53. 53.
    Cox MS, Schepens CL, Freeman HM (1966) Retinal detachment due to ocular contusion. Arch Ophthalmol 76:678–685PubMedCrossRefGoogle Scholar
  54. 54.
    Scott JD (1971) Static and dynamic vitreous traction. Trans Ophthalmol Soc UK 91:175–188PubMedGoogle Scholar
  55. 55.
    Rachal WF, Burton TC (1979) Changing concepts of failures after retinal detachment surgery. Arch Ophthalmol 97:480–483PubMedCrossRefGoogle Scholar
  56. 56.
    Ryan SJ (1985) Prohferative vitreo-retinopathy. Am J Ophthalmol 100:188–193PubMedGoogle Scholar
  57. 57.
    Kapik A, Kenyon KR, Michels RG, Green WR, de la Cruz ZC (1981) Epiretinal and vitreous membranes. Arch Ophthalmol 99:1445–1454CrossRefGoogle Scholar
  58. 58.
    Laqua H, Machemer R (1975) Clinico-pathological correlation in massive peri-retinal proliferation. Am J Ophthalmol 80:913–929PubMedGoogle Scholar
  59. 59.
    Mueller-Jensen K, Machemer R, Azarnia R (1975) Autotransplantation of retinal pigment epithelium in intravitreal diffusion chamber. Am J Ophthalmol 80:530–537PubMedGoogle Scholar
  60. 60.
    Gloor BP (1969) Zellproliferation, Narbenbildung und Pigmentation nach Lichtkoagulation (Kaninchen-Vesuche). Klin Monatsbl Augenheilkd 154:633–648PubMedGoogle Scholar
  61. 61.
    Gloor BP, Daicker BC (1975) Pathology of the vitreo-retinal border structures. Trans Ophthalmol Soc UK 95:387–391PubMedGoogle Scholar
  62. 62.
    Laqua H, Machemer R (1975) Glial cell proliferation in retinal detachment (massive peri-retinal proliferation). Am J Ophthalmol 80:602–618PubMedGoogle Scholar
  63. 63.
    Wallow IHL, Stevens TS, Greaser ML, Bindley C, Wilson R (1984) Actin filaments in contracting preretinal membranes. Arch Ophthalmol 102:1370–1375PubMedCrossRefGoogle Scholar
  64. 64.
    Hiscott PS, Grierson I, Mcleod D (1985) Natural history of fibrocellular epiretinal membranes: a quantitative, autoradiographic and immunohistochemical study. Br J Ophthalmol 69:810–823PubMedCrossRefGoogle Scholar
  65. 65.
    Laqua H, Machemer R (1976) Repair and adhesive mechanisms of the cryotherapy lesion in experimental retinal detachment. Am J Ophthalmol 81:833–846PubMedGoogle Scholar
  66. 66.
    Sternberg P, Machemer R (1984) Subretinal proliferation. Am J Ophthalmol 98:458–462Google Scholar
  67. 67.
    Charles S (1981) Vitreous microsurgery. Wilhams and Wilkins, BaltimoreGoogle Scholar
  68. 68.
    The Retinal Society Terminology Committee (1983) The classification of retinal detachment with proliferative vitreoretinopathy. Ophthalmology 90:121–125Google Scholar
  69. 69.
    Phillips CI (1963) Distribution of breaks in aphakic and senile eyes with retinal detachments. Am J Ophthalmol 47:744–752Google Scholar
  70. 70.
    Le Mesurier R, Vickers S, Booth-Mason S, Chignell AH (1985) Aphakic retinal detachment. Br J Ophthalmol 69:737–741PubMedCrossRefGoogle Scholar
  71. 71.
    Ashrafzadeh MT, Schepens CL, Elzeneiny II, Moura R, Morse PH, Kraushar MF (1973) Aphakic and phakic retinal detachment. Arch Ophthalmol 89: 476–483PubMedCrossRefGoogle Scholar
  72. 72.
    Norton EWD (1964) Retinal detachment in aphakia. Am J Ophthalmol 58:111–124PubMedGoogle Scholar
  73. 73.
    Jaffe NS, dayman HM, Jaffe MS (1984) Retinal detachment in myopic eyes after intracapsular and extracapsular cataract surgery. Am J Ophthalmol 97:48–52PubMedGoogle Scholar
  74. 74.
    Percival SPB, Anand VG, Das SK (1983) Prevalence of aphakic retinal detachment. Br J Ophthalmol 67:43–45PubMedCrossRefGoogle Scholar
  75. 75.
    Coonan P, Fung WE, Webster RG, Auen AW, Abbott RL (1985) Incidence of retinal detachment following extracapsular cataract extraction: a ten year study. Ophthalmology 92:1096–1101PubMedGoogle Scholar
  76. 76.
    Ho PC, Tolentino F (1984) Pseudophakie retinal detachment. Ophthalmology 91:847–852PubMedGoogle Scholar
  77. 77.
    McHugh D, Wong D, Cooling R, Leaver PK, Chignell A (1988) Eye (in press)Google Scholar
  78. 78.
    Cousins S, Boniuk I, Okun E, Johnston P, Arribas NP, Escoffery RF, Burgess DG, Grand G, Oik RJ, Schoch LH (1986) Pseudophakie retinal detachments in the presence of various IOL types. Ophthalmology 93:1198–1207PubMedGoogle Scholar
  79. 79.
    Fastenberg DM, Schwartz PL, Lin HZ (1984) Retinal detachment following neodymium — Yag laser capsulotomy. Am J Ophthalmol 97:288–291PubMedGoogle Scholar
  80. 80.
    Chignell AH (1973) Retinal dialysis. Br J Ophthalmol 57:572–577PubMedCrossRefGoogle Scholar
  81. 81.
    Hagler WS, North AW (1968) Retinal dialysis and retinal detachment. Arch Ophthalmol 79:376–388PubMedCrossRefGoogle Scholar
  82. 82.
    Zion VM, Burton TC (1980) Retinal dialysis. Arch Ophthalmol 98:1971–1974PubMedCrossRefGoogle Scholar
  83. 83.
    Scott JD (1977) Retinal dialysis. Trans Ophthalmol Soc UK 97:33–35PubMedGoogle Scholar
  84. 84.
    Daniel R, Kanski JJ, Glasspool MG (1974) Retinal detachment in children. Trans Ophthalmol Soc UK 94:325–335Google Scholar
  85. 85.
    Billington BM, Leaver PK, McLeod D (1985) Management of retinal detachment in the Wagner-Stickler syndrome. Trans Ophthalmol Soc UK 104:875–880PubMedGoogle Scholar
  86. 86.
    Tasman W (1967) Retinal detachment in children. Trans Am Acad Ophthalmol Otolaryngol 71:455–460Google Scholar
  87. 87.
    Pruett RC, Schepens CL (1970) Posterior hyperplastic primary vitreous. Am J Ophthalmol 69:535–543Google Scholar
  88. 88.
    Hamada S, Ellsworth RM (1971) Congenital retinal detachment and the optic disc anomaly. Am J Ophthalmol 71:460–464PubMedGoogle Scholar
  89. 89.
    Mcleod D (1985) Giant retinal tears after central vitrectomy. Br J Ophthalmol 69:96–98PubMedCrossRefGoogle Scholar
  90. 90.
    Hovland KR, Schepens CL, Freeman HM (1968) Development giant retinal tears associated with lens coloboma. Arch Ophthalmol 80:325–331PubMedCrossRefGoogle Scholar
  91. 91.
    Norton EWD, Aaberg TM, Fung W, Curtin VT (1969) Giant retinal tears. Am J Ophthalmol 68:1011–1021PubMedGoogle Scholar
  92. 92.
    Schepens CL, Freeman HM (1967) Current management of giant retinal breaks. Trans Am Acad Ophthalmol Otolaryngol 71:474–487PubMedGoogle Scholar
  93. 93.
    Aaberg TM, Blair CJ, Gass JDM (1970) Macular holes. Am J OphthalmolGoogle Scholar
  94. 94.
    Jungschaffer OH (1971) Arrow head tear in the macula. Arch Ophthalmol 86:19–20PubMedCrossRefGoogle Scholar
  95. 95.
    Hagler WS, Woldoff HS (1973) Retinal detachment in relation to senile retnoschisis. Trans Am Acad Ophthalmol Otolaryngol 77:99–113Google Scholar
  96. 96.
    Bruno MA, McPherson SD (1949) Harada’s disease. Am J Ophthalmol 32:513–522PubMedGoogle Scholar
  97. 97.
    Cowper AR (1951) Harada’s disease and Vogt-Koyanagi syndrome: uveo-encephalitis. Arch Ophthalmol 58:764–766Google Scholar
  98. 98.
    Schepens CL, Brockhurst RM (1963) Uveal effusion 1. Clinical picture. Arch Ophthalmol 70:189–201PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • A. H. Chignell
    • 1
    • 2
  1. 1.St. Thomas’ HospitalUK
  2. 2.King Edward VII’s HospitalUK

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