gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

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Custodis Lecture: "Strategies of the management of vitreoretinal traction"

Meeting Abstract

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  • corresponding author F. Körner - Augenklinik, Inselspital, Bern/CH

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogFR.04.05

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2004/04dog195.shtml

Published: September 22, 2004

© 2004 Körner.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Complex processes of the vitreoretinal interface may cause retinal detachment. They require specific therapeutic strategies. During the past 50 years, increasingly effective concepts have been developed leading from simple diathermy coagulation to indenting procedures and vitreoretinal surgery. The invention of pars plana vitrectomy (PPV) makes a direct microsurgical manipulation possible at the vitreoretinal interface. A preretinal application of therapeutic drugs will be available in the near future.

The indication for a certain surgical procedure should be based on pathophysiological reasoning, evidence from controlled clinical studies and permanent critical judgment of pre- and postoperative results. This leads to a pathology based rather than schematic planning of individual surgical procedures.

Some surgical concepts and their results will be illustrated on the basis of typical situations like PVR and diabetic and non-diabetic vitreoretinal disorders.