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Giant Retinal Dialysis and Tear: Surgical Repair

Giant Retinal Dialysis and Tear: Surgical Repair Abstract THE surgical repair of retinal detachment associated with a small retinal dialysis is accomplished with a high rate of success by most retinal surgeons,1,2 regardless of the specific technique employed. In contrast, detachments associated with giant dialyses have been corrected with less success, especially if the posterior edges are rolled, and in some instances attempted repair has not even been tried.1 In this report, a technique is described which permitted a giant dialysis and tear with rolled edge to be successfully reattached. Report of a Case A 25-year-old male student was seen because of acute right eye pain and blurred vision. This developed immediately after he was struck in the eye by a finger while playing football. His past medical history revealed several minor shrapnel injuries to the left arm and knee, reattachment of a severed left thumb, and treatment for malaria; all occurring while he was in References 1. Blach RK, Davies EWG: The management of retinal dialysis . Trans Ophthal Soc UK 87:317-333, 1967. 2. Hagler WS: Retinal dialysis as the cause of a special type of retinal detachment . Southern Med J 58:1475-1482, 1965.Crossref 3. Schepens CL, Dobbie JG, McMeel JW: Retinal detachments with giant breaks: Preliminary report . Trans Amer Acad Ophthal Otolaryng 66:471-479, 1962. 4. Freeman HM: The treatment of giant retinal tears , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, pp 391-399. 5. Norton EWD: Postoperative management , in Schepens CL, Regan CD (eds): Controversial Aspects of the Management of Retinal Detachment . Boston, Little Brown & Co, 1965, pp 321-326. 6. Norton EWD, Aaberg T, Fung W, et al: Giant retinal tears: I. Clinical management with intravitreal air . Amer J Ophthal 68:1011-1021, 1969. 7. Cibis PA, in discussion, Schepens CL, Regan CD (eds): Controversial Aspects of the Management of Retinal Detachment . Boston, Little Brown & Co, 1965, pp 192-199. 8. Shah A, in discussion, Blach RK, Davies EWG: Management of retinal dialysis . Trans Ophthal Soc UK 87:333, 1967. 9. Hruby K: Clinical observations of vitreous change , in Schepens CL (ed): Importance of Vitreous Body in Retinal Surgery With Special Emphasis on Reoperations . St. Louis, CV Mosby Co, 1960, pp 94-111. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Giant Retinal Dialysis and Tear: Surgical Repair

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References (8)

Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1970.00990040314010
Publisher site
See Article on Publisher Site

Abstract

Abstract THE surgical repair of retinal detachment associated with a small retinal dialysis is accomplished with a high rate of success by most retinal surgeons,1,2 regardless of the specific technique employed. In contrast, detachments associated with giant dialyses have been corrected with less success, especially if the posterior edges are rolled, and in some instances attempted repair has not even been tried.1 In this report, a technique is described which permitted a giant dialysis and tear with rolled edge to be successfully reattached. Report of a Case A 25-year-old male student was seen because of acute right eye pain and blurred vision. This developed immediately after he was struck in the eye by a finger while playing football. His past medical history revealed several minor shrapnel injuries to the left arm and knee, reattachment of a severed left thumb, and treatment for malaria; all occurring while he was in References 1. Blach RK, Davies EWG: The management of retinal dialysis . Trans Ophthal Soc UK 87:317-333, 1967. 2. Hagler WS: Retinal dialysis as the cause of a special type of retinal detachment . Southern Med J 58:1475-1482, 1965.Crossref 3. Schepens CL, Dobbie JG, McMeel JW: Retinal detachments with giant breaks: Preliminary report . Trans Amer Acad Ophthal Otolaryng 66:471-479, 1962. 4. Freeman HM: The treatment of giant retinal tears , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, pp 391-399. 5. Norton EWD: Postoperative management , in Schepens CL, Regan CD (eds): Controversial Aspects of the Management of Retinal Detachment . Boston, Little Brown & Co, 1965, pp 321-326. 6. Norton EWD, Aaberg T, Fung W, et al: Giant retinal tears: I. Clinical management with intravitreal air . Amer J Ophthal 68:1011-1021, 1969. 7. Cibis PA, in discussion, Schepens CL, Regan CD (eds): Controversial Aspects of the Management of Retinal Detachment . Boston, Little Brown & Co, 1965, pp 192-199. 8. Shah A, in discussion, Blach RK, Davies EWG: Management of retinal dialysis . Trans Ophthal Soc UK 87:333, 1967. 9. Hruby K: Clinical observations of vitreous change , in Schepens CL (ed): Importance of Vitreous Body in Retinal Surgery With Special Emphasis on Reoperations . St. Louis, CV Mosby Co, 1960, pp 94-111.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Sep 1, 1970

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