Giant Retinal Tears

  • Ronald G. Michels
Conference paper
Part of the FIDIA Research Series book series (FIDIA, volume 2)


Giant retinal tears with an inverted retinal flap are difficult to treat successfully (Fig. 1). The principle of unfolding the inverted flap by preoperative (1, 2) or intraoperative (2, 3) positioning of the patient and/or by use of an intravitreal bubble and postoperative rotation of the patient (4, 5) has been widely accepted. However, only since development of modern vitreous surgery methods has it been possible to effectively unfold the inverted retinal flap in the majority of cases. Vitreous surgery provides capabilities to: 1) relieve vitreoretinal traction and traction due to epiretinal tissue, and 2) to create a large fluid-filled space in the vitreous cavity that permits effective use of an intraocular bubble to unfold the retinal flap during (6, 7) or after surgery (7, 8).


Vitreous Cavity Incarceration Site Scleral Buckle Proliferative Vitreoretinopathy Vitreous Surgery 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • Ronald G. Michels
    • 1
  1. 1.The Vitreoretinal Service, Department of OphthalmologyJohns Hopkins University School of MedicineBaltimoreUSA

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