Recurrent Retinal Detachment

  • Ulrich Spandau
  • Zoran Tomic


The main question when examining the retina of a recurrent detachment is: Where is the hole? If a new hole is present, we would operate the eye as a primary detachment. But in many cases, a retinal break cannot be found. In this case a minihole must be searched for. This minihole is often a laser necrosis and located at the edge of a laser scars. In order to localize the hole, you must remember the Lincoff rules and use the following trick: Inject PFCL posterior to the suspected hole and look for Schlieren. Schlieren is subretinal fluid which enters the vitreous cavity through the hole. Search for the hole using a light fiber and scleral depressor.


Recurrent Detachment Laser Scars Scleral Depressor Primary Detachment Retinal Breaks 
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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ulrich Spandau
    • 1
  • Zoran Tomic
    • 1
  1. 1.Department of OphthalmologyUppsala University HospitalUppsalaSweden

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