Primary Retinal Detachment

The book begins with an extensive review, analyzing the evolution of present-day detachment surgery over the past 70 years. Here, a changing pattern of treatment modalities comes into view, with four primary procedures in use at the beginning of the twenty-first century. Experts in the field of retinal and vitreous surgery then describe the following surgical techniques: cerclage with drainage, pneumatic retinopexy, primary vitrectomy, and minimal segmental buckling without drainage. The advantages and disadvantages of each technique are assessed in relation to case selection, single operation attachment, final attachment, complications, visual function, and cost effectiveness. The techniques are then compared with each other. The volume continues with a description of the use of modern adjuvant pharmacotherapy (intravitreal triamcinolone acetonide, anti-metabolites, fluorouracil, daunorubicin, heparin, etc.) to improve the surgical and functional outcome of these techniques.