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June 1940


Arch Ophthalmol. 1940;23(6):1181-1187. doi:10.1001/archopht.1940.00860131339007

The numerous surgical procedures employed for the relief of retinal detachment tend to confirm the belief that the treatment of this condition is still in the empiric stage. With few exceptions, the common surgical operations employed today in treating retinal detachment have as their aim the production of an adhesive choroiditis and the drainage of subretinal fluid. Through the pioneering work of Gonin, the necessity of closing the retinal tear when it is present is now well known, the production of the choroiditis being considered essential to bring this about. The separated retina and the retinal tear, however, are the end result of etiologic factors which at the present time appear to be variable and not clearly understood. Although retinal detachments seem to fall into several fairly well defined groups, there are many exceptions and variations. It will not be the purpose here to go into the arguments for and

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