Biomedical subjects

U Reinking

Publications and source records attributed to U Reinking.

3 recordsLinked to original sources

PubMed1990

[Results after retinotomy and retinectomy in the treatment of complicated retinal detachment].

Of 241 cases operated with pars-plana vitrectomy and silicone oil filling for complicated retinal detachment we performed retinotomies for drainage of subretinal fluid or removal of subretinal strands in 48 cases (20%) and retinectomies for relief of traction in 80 cases (33%). We found no negative influence of these retinotomies and retinectomies on the anatomic or functional outcome in our major indication groups--PVR, PDR and perforating injury. With increasing size of the retinectomy the anatomic success rate fell from 100% in cases with a 90 degrees retinectomy to 76% with a retinectomy larger than 270 degrees. In 21 out of 80 cases traction relief was insufficient so that we had to enlarge the retinectomy. 17 of these 21 cases could then be attached permanently.

Diabetic Retinopathy↗

PubMed1990

[Peripheral retinectomy in proliferative vitreoretinopathy].

In most cases of advanced proliferative vitreoretinopathy (PVR) relief of anterior traction can be achieved by careful dissection of the vitreous base. In more complicated cases, a peripheral, usually inferior retinectomy is necessary. We have analyzed retrospectively 51 cases of advanced PVR, in which we performed a combined vitrectomy-silicone oil procedure with peripheral retinectomy. In 90% of the cases, the retinectomy was done during a reoperation. In 24 of 51 patients (47%) the crystalline lens could be preserved until removal of the silicone oil. At the end of follow-up (more than 6 months, mean 13 months), the retina was attached in 37 of 51 cases (72.5%) Reproliferation caused redetachment in 12 of the 14 failures. Reproliferation with renewed traction on the central retina frequently required revision with extension of the retinectomy, but in most eyes anterior traction could be managed successfully by this technique.

Eye Diseases↗

PubMed1988

[Acute retinal necrosis].

The authors report on three patients with acute retinal necrosis who were treated with the virostatic agent Acyclovir and who underwent vitreoretinal surgery with silicone oil filling for total retinal detachment. In two eyes the retina was reattached, but useful vision was only preserved in one patient. Titers from blood and the vitreous, as well as microscopic findings in retinal biopsies, support the view that the necrosis is caused by a herpes simplex virus infection. After therapy with Acyclovir was instituted no further progression on the necrosis was observed. However, the development of retinal detachment could not be prevented. Early diagnosis and antiviral therapy are essential to improve the otherwise poor prognosis in this rare syndrome.

Acute Disease↗