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Article
June 1934

DETACHMENT OF THE RETINA: TREATMENT WITH MULTIPLE DIATHERMIC PUNCTURE AND ITS RESULTS

Author Affiliations

VIENNA, AUSTRIA

Arch Ophthalmol. 1934;11(6):933-941. doi:10.1001/archopht.1934.00830130015001
Abstract

It is to the everlasting credit of Gonin that he recognized the importance of the retinal tear in the development of retinal detachment and showed the curability of this condition by operative closure. Permanent healing of retinal detachment was formerly rare and could be regarded only as accidental. Only since the time of Gonin has operative treatment of retinal detachment attained its aim, which consists in closure of the tear ; in this way, it has become a rational therapeutic method. However, the instrument which Gonin used—the glowing iron—has many disadvantages. It is difficult to hit the tear with this instrument, and if several holes are present or if the tears are large, it is often impossible to accomplish closure in one operation. Postoperative hemorrhage into the vitreous body is no rarity and may spoil a successful operation. Distortion of the retina, with new tears about

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