Abstract
According to the observations of Machemer, “attraction forces” created by a continuous absorption of fluid by the pigmented epithelium keep the retina attached to the underlying planes. Following this observation, Machemer and Gonvers showed that a relaxing of any vitreo-retinal traction by vitrectomy makes possible the reattachment of a detached retina with macular hole. By relaxing traction on the retina, posterior scleral buckles and cryo or laser treatment can be avoided. Without scar adhesions, however, any tangential traction on the retina, even if it is not near the macular hole, can cause a new subretinal infiltration of fluid through the re-opened central hole.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1986 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Stirpe, M., Villani, C. (1986). Retinal Detachment with Macular Hole. In: Blankenship, G.W., Binder, S., Gonvers, M., Stirpe, M. (eds) Basic and Advanced Vitreous Surgery. FIDIA Research Series, vol 2. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3881-0_35
Download citation
DOI: https://doi.org/10.1007/978-1-4757-3881-0_35
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4757-3883-4
Online ISBN: 978-1-4757-3881-0
eBook Packages: Springer Book Archive