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Related Experiment Videos

Indentation microsurgery: internal searching for retinal breaks.

P H Rosen1, H C Wong, D McLeod

  • 1Surgical Vitreoretinal Unit, Moorfields Eye Hospital, London.

Eye (London, England)
|January 1, 1989
PubMed
Summary
This summary is machine-generated.

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Identifying retinal breaks during surgery for rhegmatogenous retinal detachment is crucial. Deep kinetic indentation with endoillumination successfully located breaks in 95% of challenging cases, leading to high reattachment rates.

Area of Science:

  • Ophthalmology
  • Surgical Innovation

Background:

  • Rhegmatogenous retinal detachment (RRD) is a sight-threatening condition.
  • Preoperative identification of retinal breaks can be challenging due to media opacities or prior surgeries.

Purpose of the Study:

  • To evaluate the efficacy of deep kinetic indentation combined with endoillumination for identifying retinal breaks during closed microsurgery for RRD.
  • To assess the success rate of retinal reattachment using this technique.

Main Methods:

  • The study involved 78 eyes with RRD where retinal breaks were not visible preoperatively.
  • Deep kinetic indentation of the sclera was performed in conjunction with endoillumination during closed microsurgery.
  • Retinal breaks were identified using this combined approach.

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Main Results:

  • Retinal breaks were successfully identified in 95% of the evaluated eyes.
  • Retinal reattachment was ultimately achieved in 85% of the cases.
  • The technique proved effective in overcoming preoperative visualization challenges.

Conclusions:

  • Deep kinetic indentation with endoillumination is a valuable tool for intraoperative identification of retinal breaks in RRD.
  • This method significantly improves the chances of successful retinal reattachment when breaks are not preoperatively visible.