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Volume 3
Optometry: Open Access
ISSN: 2476-2075
Optometry 2018
October 08-09, 2018
Page 36
conference
series
.com
October 08-09, 2018 | Edinburgh, Scotland
3
rd
International Conference and Expo on
Optometry & Vision Science
Ingrid Kreissig, Optom open access 2018, Volume 3
DOI: 10.4172/2476-2075-C1-007
Primary retinal detachment: How to treat it best?
T
he treatment options for a primary retinal detachment will be analyzed by starting with Gonin in 1930 up to present in regard
to their morbidity, rate of reoperation and long-term visual function. There had been a change from surgery of the entire retinal
detachment to a surgery limited to the area of then retinal break and as well a change from an extraocular to an approach for
reattaching the retina. Over the last decades there had been evolved four major surgical techniques for repair of a primary retinal
detachment being applied in the beginning of the 21
st
century. All of these have still one issue in common: To find and close the
retinal break which causes the detachment and which would cause a redetachment, if not sealed off sufficiently. In conclusion,
to find and close the break(s) appropriately in a primary retinal detachment has accompanied the efforts of retinal detachment
surgeons during the past eight decades which is still the “conditio sine qua non” for long-term reattachment. But, however, today four
postulates have to be fulfilled for each of the four techniques for repair that includes; Retinal reattachment should be achieved with
the 1
st
operation; the procedure should have a minimum of morbidity; it should not harbor secondary complications jeopardizing
regained visual acuity and; it should be performed on a small budget in local anesthesia. This is needed, because the budget for
ophthalmology of today has to cover as well very expensive and long-term needed treatment modalities for AMD.
Biography
Ingrid Kreissig is currently a Professor at Department of Ophthalmology Univ. Mannheim-Heidelberg, Mannheim, Germany. She is also serving as Adjunct Professor at
New York Hospital-Cornell Medical Center, New York. Her specialization includes, Posterior Segment of the Eye: St. Gall/Switzerland, Bonn/Germany, and New York
Hospital-Cornell Medical Center/USA. During 1979-2000, she has been the Chairman of Univ. Tuebingen/Germany. She has published more than 404 papers, those are
been published in national and international journals of ophthalmology, basically on topics such as surgery of retinal detachment with long-term follow-up of anatomic and
functional results, cryopexy histology, tumors, AMD, diabetic retinopathy, and intravitreal pharmacotherapy. She has also published many books.
Ingrid Kreissig
Heidelberg University, Germany