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February 1975

Retinal Detachment: The Essentials of Management

Arch Ophthalmol. 1975;93(2):168. doi:10.1001/archopht.1975.01010020174019

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This 5 × 7-inch monograph is intended to be a "simple statement on the management of retinal detachment" primarily for ophthalmic surgeons in training. The author obtains this objective with a clear and concise text, numerous line drawings, and a few well-selected references for further reading.

Following a brief description of the technique of binocular indirect ophthalmoscopy with scleral depression, several clinical clues are noted that may be helpful in the detection of retinal breaks. Although the classification of retinal breaks topographically into equatorial (horseshoe, round) and peripheral (aphakic, dialysis, disinsertion) is oversimplified, further discussion is given to more complex cases (eg, multiple breaks, macular holes, giant tears, preretinal retraction) in the chapters dealing with management. The author categorizes rhegmatogenous detachments according to whether the breaks are located superiorly (between the 8- and 4o'clock meridians) or inferiorly and outlines his approach to each type. Cryopexy with release of subretinal fluid,

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