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Ingrid Kreissig,

Ingrid Kreissig,

Cornell University, USA

Title: The treatment of primary retinal detachment: A review of the past 85 years


Biography: Ingrid Kreissig,


The evolution of present surgical techniques for reattaching a primary retinal detachment will be analysed from 1929 up to present and this in respect to their morbidity, rate of reoperation and long-term visual function.

Publications about retinal detachment surgery is reviewed during the past 85 years. There had been a change from a surgery of the entire retinal detachment to a surgery limited to the area of the break and a change from extraocular to intraocular surgery. 

The 4 major surgical techniques for repair of a primary retinal detachment that are applied in the beginning of the 21st century, have still one nominator in common: To find and close the retinal break which caused the detachment and which would cause a redetachment, if not sealed off sufficiently. 

Conclusion:  To find and close sufficiently the break(s)  in a primary retinal detachment has been the aim and accompanied the efforts of retinal detachment surgeons during the past 85 years.  However, today 4 postulates have to be fulfilled for an adequate and optimal retinal detachment surgery:  (1) The retinal reattachment should be obtained with the 1st operation, (2) the procedure should have a minimum of morbidity, (3) not harbour secondary complications jeopardizing regained visual acuity and (4) be performed on a small budget in local anaesthesia.