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By itself, the buckle does not prevent a retinal break from opening again.
Retinal breaks are divided into three types - holes, tears and dialyses.
Cryotherapy (freezing) is applied around retinal breaks prior to placing the buckle.
The laser or cryotherapy forms a permanent adhesion around the retinal break and prevents further accumulation of fluid and re-detachment.
Treatment failures usually involve either the failure to recognize all sites of detachment, the formation of new retinal breaks, or proliferative vitreoretinopathy.
In 1853, Coccius provided the first description of retinal breaks of the eye, and subsequently made the association to retinal detachment.
Retinal detachments are usually caused by retinal tears, and a scleral buckle can be used to close the retinal break.
Retinal breaks and detachment after neodymium:YAG laser posterior capsulotomy: Five-year incidence in a prospective cohort.
PVD can lead to retinal breaks that may liberate RPE cells that initiate membrane formation.
Those from retinal breaks, previous retinal detachments, or cryopexy are composed mainly of dispersed RPE cells, while cells of glial origin predominate in idiopathic pathology.
He had been ill for several months and underwent surgery for multiple retinal breaks in October and November 1974 but managed to return to his city council seat in December of that year.
It is most commonly associated with posterior vitreous detachment, migraine with aura, migraine aura without headache, retinal break or detachment, occipital lobe infarction and sensory deprivation (ophthalmopathic hallucinations).
The incidence of associated PVD range from 75-93%, and PVD is present in virtually all eyes with retinal breaks or retinal detachments and subsequent ERM formation.