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Modifications to the Custodis Procedure for Retinal Detachment

Modifications to the Custodis Procedure for Retinal Detachment Abstract The localized scleral indentation procedure for treatment of retinal detachment is one that we have been using with increasing frequency since first seeing it performed by Dr. Custodis in Dusseldorf in 1958.1 In recent years we have changed the materials and technique of the procedure in three ways: By replacing the polyviol implant with silicone sponge. By developing an improved scleral needle. By substituting cryopexy for diathermy. The purpose of this paper is to describe the operation with these changes. The operation consists essentially in buckling a soft synthetic implant directly over the retinal hole. The advantages which it provides in suitable cases are that it is a limited operation, usually confined to one quadrant of the eye, no scleral dissection is required, and there is no drainage of subretinal fluid. Dr. Custodis originally used an implant of polyviol, a red rubbery substance made of polyvinyl alcohol, gum arabic References 1. Custodis, E.: Bedeutet die Plombenaufnahung auf die Sklera einen Fortschritt in der operativen Behandlung der Netzhautablösung? Ber Deutsch Ophthal Ges 58:102-105, 1953. 2. Schepens, C. L., et al: Scleral Buckling Procedures: V. Synthetic Sutures and Silicone Implants , Arch Ophthal 64:863-881, 1960. 3. Lincoff, H. A., and Nano, H.: A New Needle for Scleral Surgery, Amer J Ophthal 1964, to be published. 4. Lincoff, H. A.; McLean, J.; and Nano, H.: Cryosurgical Treatment of Retinal Detachment , Trans Amer Acad Ophthal Otolaryng 68:412-432, 1964. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Modifications to the Custodis Procedure for Retinal Detachment

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1965.00970030162004
Publisher site
See Article on Publisher Site

Abstract

Abstract The localized scleral indentation procedure for treatment of retinal detachment is one that we have been using with increasing frequency since first seeing it performed by Dr. Custodis in Dusseldorf in 1958.1 In recent years we have changed the materials and technique of the procedure in three ways: By replacing the polyviol implant with silicone sponge. By developing an improved scleral needle. By substituting cryopexy for diathermy. The purpose of this paper is to describe the operation with these changes. The operation consists essentially in buckling a soft synthetic implant directly over the retinal hole. The advantages which it provides in suitable cases are that it is a limited operation, usually confined to one quadrant of the eye, no scleral dissection is required, and there is no drainage of subretinal fluid. Dr. Custodis originally used an implant of polyviol, a red rubbery substance made of polyvinyl alcohol, gum arabic References 1. Custodis, E.: Bedeutet die Plombenaufnahung auf die Sklera einen Fortschritt in der operativen Behandlung der Netzhautablösung? Ber Deutsch Ophthal Ges 58:102-105, 1953. 2. Schepens, C. L., et al: Scleral Buckling Procedures: V. Synthetic Sutures and Silicone Implants , Arch Ophthal 64:863-881, 1960. 3. Lincoff, H. A., and Nano, H.: A New Needle for Scleral Surgery, Amer J Ophthal 1964, to be published. 4. Lincoff, H. A.; McLean, J.; and Nano, H.: Cryosurgical Treatment of Retinal Detachment , Trans Amer Acad Ophthal Otolaryng 68:412-432, 1964.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Feb 1, 1965

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