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Ultrasonography as a routine examination before treatment of retinal detachment due to macular hole

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Abstract

Twelve of 25 patients were treated at the University Eye Clinic in Münster because of retinal detachment due to a macular hole. Partial fluid gas exchange (SF6), vitrectomy and SF6, or vitrectomy and silicone instillation, were used, and the patients were examined both pre- and postoperatively by ultrasonography with particular attention to the situation at the posterior pole. These echographical examinations enabled us to evaluate the following three criteria: (1) staphyloma posticum, (2) stiffness of the retina, and (3) vitreous adhesions. All of these conditions mean that the prognosis will be worse if SF6 gas instillation is used alone. In these cases, a vitrectomy should also be performed or a Klöti-Klemme procedure is useful when stiffness of the retina or staphyloma posticum is present. Preoperative ultrasonography is useful when setting up an adequate therapy plan.

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Authors and Affiliations

  1. Eye Hospital of the Westphalian Wilhelm's University, Münster, Federal Republic of Germany

    Stefan Clemens, Peter Kroll & Patrick Berg

  2. Eye Hospital of the Städtische Krankenanstalten Ludwigshafen, Federal Republic of Germany

    Holger Busse

Authors
  1. Stefan Clemens
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  2. Peter Kroll
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  3. Holger Busse
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  4. Patrick Berg
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Clemens, S., Kroll, P., Busse, H. et al. Ultrasonography as a routine examination before treatment of retinal detachment due to macular hole. Graefe's Arch Clin Exp Ophthalmol 224, 226–229 (1986). https://doi.org/10.1007/BF02143059

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  • DOI: https://doi.org/10.1007/BF02143059

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