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August 1958

The Importance and Employment of Diathermy in Retinal Detachment Surgery of Today

AMA Arch Ophthalmol. 1958;60(2):251-254. doi:10.1001/archopht.1958.00940080267012

Despite the accent on the various aspects of scleral surgery today, the basic necessity in curing a retinal detachment is still to reestablish the integrity of the fluid barrier of the retina so that the form, function, and tissue relationships of the ocular tissues may be restored. Since neither the choroid nor the retina has the structural strength to be held to the other by sutures, we are forced to employ a method of creating our pressure seal which, we may say, employs its result as its means; that is to say, the retina and choroid must be held together by the pressure from the vitreous chamber, so that the exudate from the treatment reaction may effectively seal the retinal defect, but if the defect is not sealed we cannot reestablish the pressure factor. Fortunately, Nature is tolerant of our surgical blunderings and allows us to escape from this surgical

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