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March 1963

A New Implant for Retinal Detachment Surgery

Author Affiliations

New York
Department of Ophthalmology, New York University-Bellevue Medical Center.; Department of Ophthalmology, Long Island Jewish Hospital, New Hyde Park.

Arch Ophthalmol. 1963;69(3):290-292. doi:10.1001/archopht.1963.00960040296004

Since 1949, Dr. Custodis of Düsseldorf, Germany, has advocated a technique for the repair of retinal detachments which consists of localization of the retinal tear with indirect ophthalmoscopy and overlaying the retinal break with an imbricating scleral polyvinyl (Polyviol) implant. Upon the completion of well-controlled surface diathermy and proper placement of the implant, the choroid and detached retina are brought into apposition without scleral resection or drainage of subretinal fluid.1,2

This technique has been accepted here and abroad, but its primary limitation has been the use of polyvinyl which, once removed from its container, cannot be resterilized. Granuloma formation, chronic uveitis, infections, scleral erosion, vitreous clouding, and implant extrusion have all been noted after the use of this substance.3

With the cooperation of the Dow-Corning Center for Aid to Medical Research, an implant with all the qualities of polyvinyl, less its disadvantages, has been developed. This implant is

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