Offers the most comprehensive content available on retina, balancing the latest scientific research and clinical correlations, covering everything. Editorial Reviews. Review. "This is a reference text, with the online access as a major attraction Retina E-Book (Ryan, Retina) 5th Edition, Kindle Edition. The undisputed gold standard text in the field, Ryan's Retina is your award- winning choice for the most current, authoritative information on new technologies.
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Retina, 4th Edition: PDF Book. Book: RETINA Writer:Stephen computerescue.info Volume I. Book Description. Comprehensively updated to reflect everything you need to. Online PDF Ryan s Retina: 3 Volume Set, 6e, Read PDF Ryan s Retina: 3 Volume Set, 6e, Full PDF Ryan s Retina: 3 Volume Set, 6e, All Ebook Ryan s Retina: 3. Retina. Book • 5th Edition • Edited by: Stephen J. Ryan, SriniVas R. Sadda, Andrew P. Schtéléchargement. Browse book content. About the book. Search in this.
Lay the foundation so you can focus on efficiency and optimizing your workflow in clinic later. What do you wish you had done more of as a fellow? Ali: I will always wish that I had asked even more questions in all my encounters with patients and attendings.
What medical and surgical retina reading do you recommend for incoming fellows? As you practice more, the free journals are an incredible source of information for practice patterns.
It can be useful to focus your reading on bread-and-butter clinical topics and landmark trials to frame the debates we have in conference and shape how we approach patients in our clinic.
Talcott: Fellowship is short. You have only 2 years to acquire as much knowledge, skill, and experience as possible before embarking on a career of your own in retina. Aderman: Retina fellowship is the best 2 years of your life. Enjoy it! Ali: Be available, be affable, and be able.
Being awesome never hurts. What are some of the resources to consider when looking for a job? Do you want to be in academics or private practice? Are you geographically restricted? Will your spouse also be looking for a job? Research the retina landscape in the area you want to be and reach out to all reputable groups by email. Local pharmaceutical and surgical reps can be great sources of information, especially if you are particularly interested in a certain geographic area.
These reps often know all the practices in your area and can advise you if anyone is looking to hire. Reps you know from fellowship can help put you in touch with reps in your geographic areas of interest. Looking back, what was the best learning experience you had during fellowship?
In TABLE 2 Open in a separate window After the surgical procedures, primary anatomical success was achieved in 30 out of 39 In SB group, 22 of 30 Missed or new retinal breaks and inadequate SO or gas tamponade in the inferior part of the retina were observed as the main cause of surgery failure. Primary and final anatomical and functional success rates were similar in all three groups Table 3.
The overall mean BCVA at the final visit was 0. No statistically significant difference was determined between the recurrent and non-recurrent patients with regard to the number of detached quadrants, number and localization of breaks as well as with regard to preoperative BCVA.
On contrary, a statistically significant difference was observed between the recurrent and non-recurrent patients in postoperative BCVA values Table 4.
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The detachment time was longer and number of detached quadrants was higher in the patients with macular detachment. Although the mean pre-op BCVA was lower in the patients with macular detachment in comparison to the patients without macular detachment, the difference was not statistically significant Table 5. In , Benson et al. The popularity of PPV in pseudophakic RD surgery has increased over time due to the advancements in vitrectomy techniques, as well as owing to the fact that peripheral retinal tears can be better observed and that the rate of PVR has declined.
According to the results of the Preferences and Trends PAT survey , conducted among the members of the American Society of Retina Specialists, the number of retina specialists that prefer treating RD with vitrectomy without SB has increased between and In the same case presentation of a year-old patient with a pseudophakic RD, In recent years, PR has become a less popular method for treating pseudophakic RD [ 15 , 16 ].
SB, which conventionally provides target-oriented retinal attachment, is one of two basic methods in the surgical treatment of RD. SB had the highest success rate and was the most frequently used method in the treatment of RD before the advancements in PPV technique [ 5 - 17 ]. The most significant advantage of PPV is that peripheral vitreous detachment can be visualized more clearly by eliminating vitreous and posterior hyaloid membrane. Furthermore, together with wide-angle imaging systems, it enables the microscopic visualization of peripheral fundus by scleral indentation and internal illumination.
Thus, with clearer visualization of retinal tears in peripheral fundus and prompt intervention, it provides a high rate of anatomical success in treating RD. Ho et al. In this study, we identified retinal breaks in 28 out of 30 patients We found the location of retinal breaks in 70 out of 71 patients In a case series of patients with pseudophakic RRD, Campo et al.
In our study, retinal reattachment was achieved after the initial surgery in 56 of 71 patients We achieved retinal reattachment after the initial surgery in 22 patients Mendrinos et al. In our study, the final BCVA was 0. The difference in recovery of vision could be explained by the height of macular detachment and degeneration of photoreceptor cells in the macula. Awareness of the patient about this subject and early admission to the hospital as well as an early surgical intervention are of critical importance.
In a meta-analysis [ 32 ] covering the years from to , a comparison of conventional SB and PPV revealed that PPV had better anatomical and visual outcomes in pseudophakic RD patients. In the published randomized clinical studies, it was determined that PPV is at least as successful as SB [ 19 , 26 ]. Sharma et al.
Brazitikos et al. In the present study, no statistically significant difference was determined between the recurrent and non-recurrent cases in terms of multiple breaks.
Although a number of previous studies investigated the efficacy of SB and PPV in pseudophakic RD patients [ 9 , 19 , 20 , 24 - 26 ], only a limited number of studies focused on the efficacy of gas and silicone oil tamponade use in pseudophakic RD patients. There are several limitations in this study. First, the number of patients was limited only to patients in each group. Second, this was a retrospective, comparative case series of a single center experience. Third, because one of the surgeons voluntarily chose to perform SB and the other surgeon performed PPV, these results may reflect their surgical expertise and it may be difficult to extrapolate these data to the general vitreoretinal surgery practice.
In conclusion, no difference was determined between the surgical procedures performed in pseudophakic RD patients in the case of early admission and rapid intervention, as well as when adequate technical facilities exist and the surgeries are performed by experienced surgeons. The surgeon can choose either SB or PPV safely by taking his or her own experience and the risk-benefit ratio into consideration, individually for each patient.
Update on a long-term, prospective study of capsulotomy and retinal detachment rates after cataract surgery. J Cataract Refract Surg. National outcomes of cataract extraction. Retinal detachment after inpatient surgery. Trends in vitreoretinal surgery at a tertiary referral center to Br J Ophthalmol. Pseudophakic retinal detachment. Surv Ophthalmol.
Retinal detachment after cataract surgery. Surgical results. Pseudophakic retinal detachments in the presence of various IOL types. Predisposing factors. Primary vitrectomy for pseudophakic retinal detachment. Combined pars plana vitrectomy and scleral buckling for pseudophakic and aphakic retinal detachments in which a break is not seen preoperatively. Ophthalmic Surg Lasers. Primary vitrectomy alone for repair of retinal detachments following cataract surgery. Primary retinal detachment: Scleral buckle or pars plana vitrectomy?
Curr Opin Ophthalmol. An evidence-based analysis of surgical interventions for uncomplicated rhegmatogenous retinal detachment.
Acta Ophthalmol Scand. Current popularity of pneumatic retinopexy.
American Society of Retina Specialists. Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment.
Clin Ophthalmol. DOI: Pneumatic retinopexy for rhegmatogenous retinal detachment in pseudophakia.
Semin Ophthalmol. Epub ahead of print. Management of pseudophakic retinal detachment with various intraocular lens types. Ann Ophthalmol. Surgical success rate with various types of IOLs.
Primary pars plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment: A randomized clinical trial.
Pars plana vitrectomy versus combined pars plana vitrectomy-scleral buckle for primary repair of pseudophakic retinal detachment.
Retinal Vascular Disease
Pars plana vitrectomy without scleral buckle for pseudophakic retinal detachments. Pars plana vitrectomy, laser retinopexy, and aqueous tamponade for pseudophakic rhegmatogenous retinal detachment. Surgical treatment of retinal detachment in pseudophakia: Comparison between vitrectomy and scleral buckling.
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If necessary, epiretinal or subretinal membrane peeling, and endodiathermy or retinotomy were performed and SO was used as a tamponade.
Retinal detachment and gyrate atrophy of the choroid and retina: case report.
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