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A Power-Driven Multipositional Operating Table
C. L. SCHEPENS, MD;
H. M. FREEMAN, MD;
R. F. THOMPSON
Arch Ophthalmol. 1965;73(5):671-673.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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The use of positioning and head exercises to unfold the inverted edge of a giant retinal break has been reported briefly.1 The inverted retinal flap of a superior giant break may unfold when the patient's head is lowered, as in the Trendelenburg position. In cases where complete unfolding is not accomplished with positioning, the addition of head exercises may achieve the desired result.
Positioning and exercises generally are less effective when the patient is supine. They can be very effective when the patient is prone because the vitreous gel moves away from the inverted retinal flap and does not impede its unfolding.
Once the retinal flap has unfolded, incarceration of the retina behind the posterior edge of the giant break before scleral buckling seems to be the best method of preventing reinversion and redetachment. It is necessary to incarcerate the retina with the patient in the most favorable position
. . . [Full Text PDF of this Article]
Author Affiliations
Boston
From the Department of Clinical Eye Research, Institute of Biological and Medical Sciences, Retina Foundation; Department of Ophthalmology, Massachusetts Eye and Ear Infirmary and Harvard Medical School. Head of Instrument Shop, Retina Foundation (Mr. Thompson).
Footnotes
Submitted for publication Jan 11, 1965.
Reprint requests to Retina Foundation, 20 Staniford St, Boston 02114 (Dr. Schepens).
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