Priniciples and Practice

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Retinal detachment : principles and practice (Book, ) [theranchhands.com]

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Write a review Rate this item: Preview this item Preview this item. Oxford ; New York: In cooperation with the American Academy of Ophthalmology, Ophthalmology monographs , 1. Principles and Practice provides a historical review of current information on the diagnosis and treatment of retinal detachment. It is intended as both an introduction for graduate students in ophthalmology and a concise review or reference for practicing ophthalmologists.

The volume defines the types of retinal detachments, their classifications and causes, and covers preoperative examination, preoperative management, prophylactic procedures, surgery, complications of surgery, and results of reattachment surgery. It also includes a historical introduction, suggested readi. Allow this favorite library to be seen by others Keep this favorite library private.

Find a copy in the library Finding libraries that hold this item I had such a mirror actually constructed; and went so far as to publish an account of it in the Medical Times and Gazette ; but soon had reason to regret this publication, by finding my instrument was really not a binocular one.

By that time a large variety of photographic pictures for his device came to market, and Brewster's stereoscope emerged as a common household entertainment vehicle, akin perhaps to television today. Five years after Brewster's publication, the subject of binocularity and stereopsis was applied specifically to ophthalmology by Marc-Antoine-Louis Felix Giraud-Teulon , whose first name, incidentally, was not Marc as is occasionally given 11 but was Felix his publications only gave the initial letter F.

In , Henry Williams of Boston enthusiastically endorsed it In order to obtain the advantage of vision with both eyes, a most ingenious instrument has been devised, which, by combination of rhombohedral and prismatic glasses behind the mirror. But it has the disadvantage of being somewhat less quickly adapted to the eye under observation than the small ophthalmoscope of Liebreich. All the good intentions and theories notwithstanding, Giraud-Teulon's ophthalmoscope had other serious drawbacks.

In the original model the interpupillary distance between the oculars was fixed, so that it fitted only a standard observer in 1 state of convergence. Convergence was eased by the introduction of prisms between the oculars and the observer's eyes. Nevertheless, the instrument's position on the horizontal axis made it hard to rotate on the sagittal or vertical axes for peripheral views of the fundus, and when done by head tilt or rotation, the light was displaced off the mirror.

Retinal Detachment

Finally, the necessity to interpose several corrective lenses between the observer and patient for a direct view was very cumbersome. Several improvements were incorporated in the binocular ophthalmoscope invented the following year by John Zachariah Laurence. Laurence founded the Ophthalmic Hospital Southwark in , a minor competitor of Moorfields, and the first Ophthalmic Review journal in others with the same title followed , of which only 3 volumes were published.

My friend, Dr Giraud-Teulon of Paris, has devised an ophthalmoscope which obviates this objection [dim image].

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I have recently simplified this instrument by substituting for the rhombs ordinary reflectors of quicksilvered glass or speculum-metal. Murray and Heath, of 43, Piccadily. This second binocular ophthalmoscope Figure 2 was, according to contemporary practitioners, much better than the first: An instrument of this kind was manufactured under the superintendence of Mr Heisch, of the firm of Murray and Heath, Piccadilly, and succeeded admirably in practice. It was found, however, that the mirrors, if made of metal, would be liable to tarnish, and difficult to clean; and if made of silvered glass, they produced confusion by reflecting from two surfaces.

This improved second instrument is cited and pictured in the later literature. First, it used dim light from an oil lamp, or later gas lamp, reflected from the instrument's mirror, in contrast to the later invented electric light source that moved with the ophthalmoscope. Second, it required the use of both hands, one to hold the instrument, the other for the condensing lens Figure 3 , thus preventing use of the second hand for fundus drawing or scleral depression. With improvements in the 1-handed direct ophthalmoscope, mainly by its electric light source and incorporated corrective lenses, the indirect binocular view seemed to offer no practical advantages, at a time furthermore when peripheral fundus disorders such as retinal detachments or tumors were incurable anyway.

Julius Hirschberg, 19 responding in his German patriotic manner to the pride of the French in their original inventor, asked in The authors blamed pre-existing macular hole, detachment duration of over one month and poor pre-op visual acuity as independent risk factors for decreased post-operative vision in certain cases despite anatomical success. However none of these eyes had an RD of more than one-week duration and non had a PVR or a macular hole.

Conclusions Scleral buckling procedures are useful in the repair of primary rhegmatogenous retinal detachment. Reasonable anatomical success as well as vision enhancement can be achieved by these procedures even in some delayed and PVR cases. This study shows that trauma is the leading cause of retinal detachment in our circumstances. Even better visual outcome could have been achieved by recording best-corrected visual acuity BCVA and more prolonged follow-up. Community Eye Health ; Global data on blindness: Blindness in the Indian state of Andhra Pradesh. Invest Ophthalmol Vis Sci ; Yorston D, Jalali S.

Retinal detachment in developing countries.

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Eye Lond ; Retinal Detachment; Principles and Practice. American Academy of Ophthalmology, ; pp 8. Retinal detachment in Olmsted Country, Minnesota, through Primary rhegmatogenous retinal detachment: Br J Ophthamol ; Twenty-year follow-up for scleral buckling. Arch Ophthalmol ; The scleral buckling procedures. Surgical technique and management. AMA Arch Ophthalmol ; Results of scleral buckling operations in primary rhegmatogenous retinal detachment. Doc Ophthalmol ; Selection of scleral buckling for primary retinal detachment. Conventional Retinal reattachment surgery.

J Coll Physicians Surg Pak ; Scleral buckling methods for rhegmatogenous retinal detachment. Factors influencing anatomic and visual results in primary scleral buckling. Eur J Ophthalmol ; Who should manage primary retinal detachments? Retinal detachment in Black South Africans. S Afr Med J ; Bull Soc Belge Ophthalmol ; Epidemiologic characteristics of rhegmatogenous retinal detachment in Kumamoto, Japan. Graefes Arch Clin Exp Ophthalmol ; Zhang CF, Hu C.

High incidence of retinal detachment secondary to macular hole in a Chinese population.