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July 1961

The Prophylactic Treatment of Retinal Detachment

Author Affiliations

New York
From the Department of Ophthalmology Cornell Medical School, New York.

Arch Ophthalmol. 1961;66(1):48-60. doi:10.1001/archopht.1961.00960010050011

The purpose of this paper is, first, to examine the criteria for selection of cases in which prophylactic surgery is done to prevent retinal detachment, and, second, to discuss methods of repair.

Surgical prophylaxis of retinal detachment is being performed on an increasing scale. The wide availability of the Zeiss light-coagulater, which greatly facilitates such operations, has been a contributing factor. It is, however, only a fortunate incident in the general picture of greater awareness of and concentration on the problems of retinal detachment in the last decade.

Opinion varies widely as to which lesions should be selected for prophylactic repair. Knowledge of the behavior of the different types of detachments that arise from different types of holes makes possible a rational approach to this problem. Conditions which threaten detachments and which should be treated prophylactically may be categorized as follows:

  1. Retinal holes in the periphery

  2. Detachments with pigment demarcation

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