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The Scleral Buckling Procedures1. Surgical Techniques and Management
C. L. SCHEPENS, M.D.;
I. D. OKAMURA, M.D.;
R. J. BROCKHURST, M.D.
AMA Arch Ophthalmol. 1957;58(6):797-811.
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Introduction
Gonin is the discoverer of the fundamental principle which governs all rational types of surgery for the reattachment of the retina, namely, that it is necessary and sufficient to permanently seal off all the retinal breaks. As a result of this finding, attempts have generally been made to close the retinal breaks by irritating the choroid lying directly over them. However, Gonin himself and several other authors found that, when breaks were either multiple or large, it was easier to obtain cures by creating a scar which acted as a barrage between the anteriorly located breaks and the more posteriorly situated retina. Such a barrage forms a dyke which limits the detachment to the area surrounding the untreated retinal breaks and protects the portion of the retina which has potential usefulness.
When a correctly performed retinopexy (or simple diathermy operation) results in failure, in spite of what seems to
. . . [Full Text PDF of this Article]
Author Affiliations
Boston
From the Department of Ophthalmology of Retina Foundation, the Massachusetts Eye and Ear Infirmary and Harvard Medical School.
Footnotes
Received for publication June 12, 1957.
Paper 44, Retina Foundation.
This work was supported by the Dazian Foundation and the American Optical Company.
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