Giant Retinal Tears

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

Abstract

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).

Keywords

Vitreous Cavity Incarceration Site Scleral Buckle Proliferative Vitreoretinopathy Vitreous Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Schepens CL, Dobbie JG, McMeele JW (1962): Retinal detachments with giant breaks: Preliminary report. Trans Am Acad Ophthalmol Otolaryngol 66:471–479.PubMedGoogle Scholar
  2. 2.
    Schepens CL, Freeman HM (1967): Current management of giant retinal breaks. Trans Am Acad Ophthalmol Otolaryngol 474–487.Google Scholar
  3. 3.
    Schepens CL (1983): Retinal Detachment and Allied Diseases, Vol. II. Philadelphia: WB Saunders; 520–542.Google Scholar
  4. 4.
    Norton EWD, Aaberg T, Fung W, et al. (1969): Giant retinal tears. I. Clinical management with intravitreal air. Am J Ophthalmol 1011–1021.Google Scholar
  5. 5.
    Freeman HM, Schepens CL, Couvillion GC (1970): Current management of giant retinal breaks. Part II. Trans Am Acad Ophthalmol Otolaryngol 74:59–74.PubMedGoogle Scholar
  6. 6.
    Machemer R, Allen AW (1976): Retinal tears 180° and greater: Management with vitrectomy and intravitreal gas. Arch Ophthalmol 94:1340–1346.PubMedCrossRefGoogle Scholar
  7. 7.
    Michels RG (1981): Vitreous Surgery. St. Louis, CV Mosby 250–255.Google Scholar
  8. 8.
    Michels RG (1982): Vitreous surgery. In: Manuals Program. San Francisco, Am Acad Ophthalmol 70–72.Google Scholar
  9. 9.
    Michels RG (1981): Vitreous Surgery. St. Louis, CV Mosby, 94.Google Scholar
  10. 10.
    Michels RG, Rice TA, Blankenship G (1983): Surgical techniques for selected giant retinal tears. Retina 139–153.Google Scholar
  11. 11.
    Hilton G, Machemer R, Michels RG, et al. (1983): The Retina Society Terminology Committee: The classification of retinal detachment with proliferative vitreoretinopathy. Ophthalmology 121–125.Google Scholar

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

Personalised recommendations