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Vitreous Surgery

  • Mireille Bonnet

Abstract

The first attempts to use vitreous surgery to relieve vitreoretinal traction1,2 antedate recognition of the role of retinal breaks in the pathogenesis of retinal detachment by Gonin.3 During the 1960s vitreous surgery had occasionally been used by retina surgeons to cut intravitreal bands and membranes associated with retinal detachment.4,5 Due to the limits of the available instrumentation, however, and fear of creating iatrogenic lesions, attempts to relieve vitreoretinal traction using intravitreal surgery had been most infrequent until the development of closed vitrectomy though the pars plana by Machemer6 in the U.S.A. and Klöti7 in Europe in the early 1970s. The basic principles and techniques of modern vitreous surgery were established by Machemer. During the last 15 years many surgeons have contributed to the development of the instrumentation and methods currently used today.8–25 Modern vitreous surgery has made desperate and hopeless retinal detachments amenable to surgical management. It has, therefore, been rapidly included in the armentarium of most retinal detachment surgeons. Closed vitreous surgery through the pars plana is the most significant advance in the management of retinal detachment during the last 15 years.

Keywords

Retinal Detachment Macular Hole Rhegmatogenous Retinal Detachment Scleral Buckling Retinal Break 
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.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • Mireille Bonnet
    • 1
  1. 1.Department of Ophthalmology Croix-Rousse HospitalUniversity of LyonLyonFrance

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