[Post-radiotherapy retinopathy].
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Biomedical subjects
Publications and source records attributed to P Aracil.
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Thirty two eyes of 32 patients affected with rhegmatogenous retinal detachment (R.D.) associated with proliferative vitreoretinopathy (P.V.R.) were operated on with combined external and endovitreal microsurgery. Internal tamponade was carried out with SF6 in 16 eyes and C3F8 in 16 eyes. All patients were followed for at least six months after the last surgical procedure. Permanent retinal reattachment was achieved in 56% of the eyes operated on with SF6 and 60% of the eyes operated on with C3F8. Surgical success was achieved with only one operation in those eyes operated on with C3F8. In contrast, 88% of the eyes successfully operated on with SF6, had more than one operation. The overall surgical results, whatever the gas used for internal tamponade, are as follows: surgical success was achieved in 83% of P.V.R. cases grade C1 and C2 (5 cases out of 6), 73% of P.V.R. cases grade C3 and D1 (11 cases out 15), and 20% of P.V.R. cases grade D2 and D3 (2 cases out of 10).
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The history of strabismus surgery starts from the end of the eighteenth century. The first surgical trials consisted of performing myotomies of the medial rectus. Although Taylor from Great Britain could be one of the first to be mentioned, it was Dieffenbach from Germany who accomplished the first official myotomy in 1839. He is followed by many authors as Roux, Velpeau in Paris, and Bonnet in Lyon, the latter performing tenotomy instead of myotomy. In 1849 Guerin performed muscular advancement. In 1883, de Wecker described the muscular pleating, and Blascowiczs the muscular resection. Thus, by the end of the nineteenth century, the surgical treatment of esodeviations was supported by methods aimed to weaken the medial rectus (tenotomies, myotomies) and to strengthen the lateral rectus (advancement, pleating and resection). During twentieth century, progress achieved in anesthesiology and the quality of suture material led Jameson (1922) to substitute tenotomy by muscular recession. Since then, the surgery of squint has never been modified basically up to 1970 when Cuppers created the retro-equatorial myopexy. Thus, two kinds of surgical technics are currently available to surgeons: classic surgery, recession, resection and their variants, dealing with the static component of the deviation angle, and the Faden Operation of Cuppers struggling against the dynamic or innervational component.
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