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August 1958

An Evaluation of Postoperative Ophthalmoscopy After Retinal Detachment Surgery

Author Affiliations

San Francisco

AMA Arch Ophthalmol. 1958;60(2):239-246. doi:10.1001/archopht.1958.00940080255009

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Introduction  Although a great deal has been written and spoken about the importance of ophthalmoscopy in the diagnosis of retinal detachments, practically all of this discussion relates to the preoperative examination. The importance of adequate postoperative examination can be emphasized when it is realized that 30% to 40% of primary retinal detachment operations are failures. It is possible to achieve cures in 50% of these initial failures if reoperations are properly planned and executed, bringing the final percentage of cures to 80% to 85%.Postoperative ophthalmoscopy is more difficult than preoperative examination for several reasons: 1. In the early stages, the visibility of the fundus is poor because of the increased haze of the media, mainly in the cornea and vitreous. 2. Important new factors, which require interpretation, have been introduced, namely, the diathermized fundus areas and the possible presence of the roll of a scleral resection.It is generally

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