Premium
How to identify retinal tears?
Author(s) -
BERROD JP
Publication year - 2010
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2010.1231.x
Subject(s) - retinal detachment , retinal tear , fundus (uterus) , vitrectomy , ophthalmology , medicine , retina , retinal , tears , ophthalmoscopy , optometry , surgery , visual acuity , psychology , neuroscience
Purpose Locating the retinal tear(s) in rhegmatogenous retinal detachment witout PVR is the first step of a successful treatment. The purpose of the course is to present the different techniques and rules to examine the retina in order to detect and locate all the tears. Methods We emphasised the 3 Lincoff's rules that permit concentration of the efforts to a small area of the periphery to identify the breaks. More than one break is present in 50% of eyes. Hence, there is a need to inspect the rest of the fundus including areas of attached retina. Results In the evaluation, one needs to stress the importance of good binocular indirect ophthalmoscopy with scleral depression or direct ophthalmocopy with slitlamp and 3 mirror contact lens. Vitrectomy can be indicated in certain cases of failure to detect breaks. In the presence of severe PVR the surgery would involve thorough cleaning of the entire retina, hence it may not be so important to identify all breaks preoperatively. Conclusion A minimal rate of postoperative failure for rhegmatogenous retinal detachment can only be achieved if a maximal preoperative search for the retinal breaks has been performed.