Хирургическое лечение регматогенных отслоек ...
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Хирургическое лечение регматогенных
отслоек сетчатки
П.В. Лыскин
Историческая справка
Витреоретинальное собрание 2013
Felix Platter
1583 - Understanding of the retina as photoreceptor
Felix Platter proposed that the lens was the looking glass of the eye and that the retina was the true photoreceptor.
Swiss physician, professor in Basel
1536 -1614
1604 - Kepler describes image on the retina
описал, каким образом изображение формируется на сетчатке
1571 - 1630
Johannes Kepler German mathematician, astronomer and astrologe
1850Herman von Helmholtz demonstrated the ophthalmoscope
German physician and physicist who made theories of vision, ideas on the visual perception of space, color vision research, In physics, work in electrodynamics, chemical thermodynamics, and on a mechanical foundation of thermodynamics. As a philosopher, he is known for his philosophy of science, ideas on the relation between the laws of perception and the laws of nature
Hermann Ludwig Ferdinand von Helmholtz
1821 – 1894
Из современных русских ученых учениками его могут считаться физиологи Е. Адамюк, Н. Бакст, Ф. Заварыкин, И. Сеченов и др., из физиков П. Зилов, Р. Колли, А. Соколов, Н. Шиллер, и др.
in 1853, Coccius provided the first description of retinal breaks of the eye, and subsequently made the association to retinal detachment. In 1853 he devised an ophthalmoscope that was a modification of the device invented by Hermann von Helmholtz
He studied medicine in Leipzig, Prague and Paris, and earned his degree in 1848. Afterwards he became an assistant at the Leipzig Eye Clinic, becoming its director in 1867, a position he held until his death in 1890.
Ernst Adolf Coccius
1825 –1890
"Atlas of Ophthalmoscopy" by Richard Liebreich, published by J.A. Churchill, 3rd edition, English, London: 1885
Jules Gonin
Before the turn of the 20th century, eyes with a retinal detachment were considered doomed. Contrary to other branches of ophthalmology, such as cataract extraction, the surgical treatment of retinal detachment was still in its infancy, and the surgical success rates were less than five percent. From 1902 to 1921 Jules Gonin almost single handedly changed the landscape of retinal detachment surgery forever. He recognised that the retinal break was the cause - and not the consequence as it was largely believed at the time - of the retinal detachment, and that the treatment had at all costs to comprise the closure of the break by cauterisation. He named the procedure ignipuncture , as he cauterised the retina through the sclera with a very hot pointed instrument.
Despite rigorously detailed clinical observations and increasing success rates, his discovery was not readily accepted and sometimes openly opposed by a large part of the ophthalmic establishment. It was not until 1929 that he received worldwide acclaim at the International Ophthalmological Congress in Amsterdam for his surgical technique
1870-1935
1937 - Scleral buckle for retinal detachment
A. Jess, MD described scleral buckle for the treatment of retinal detachment
4 scleral depressor rings, each with a different size and shaped attachment connected to it. Designed by Bengt Rosengren, Professor of Ophthalmology in Gotberg, Sweden. These aid in the viewing of the peripheral retinal tears.
1912 – 2006 He attended medical school in Belgium
and was trained in mathematics and pharmacology. Soon after, he served as a
captain in the Belgian Air Force Medical Corps and later in the French and Belgian Resistance during World War II. He was captured twice by the German Gestapo,
but survived and eventually emigrated to the United States
After arriving in England, Dr. Schepen accepted a post as research scholar at
Moorfield Eye Hospital in London. It was there that he built the first binocular
indirect ophthalmoscope in 1945, which for the first time allowed surgeons a hands-free stereoscopic view of the
retina. The prototype of his design was crafted from scrap metal, glass and other bits of hardware that he scavenged from
the rubble at Moorfield following the German blitz
vitreous microscissors,
silicone scleral bucklingpioneered the open-sky vitrectomyof Retinopathy Prematurity
1967 FOUNDER THE RETINA SOCIETY2006 KNGHT OF THE FRENCH LEGION OF HONOR
Charles L. Schepens
1947 indirect binocular ophthalmoscope
Oleg Pomerantzeff, a biomedical engineer and physicist at the Schepens Eye Research Institute in Boston who developed several innovative optical instruments and devices, died last Thursday in Toulouse, France. He was 83 and lived in Brookline, Mass
During his 33 years at the institute, Dr. Pomerantzeff invented an indirect binocular ophthalmoscope, which advanced retinal surgery by providing a three-dimensional perspective within the eye
He also developed devices that provide a 180-degree image of the retina, a laser scanner that gives a high resolution video image of the interior of the eye, and a laser used to halt bleeding in retinal blood vessels
Oleg Pomerantzeff was born in St. Petersbourg, Russia in 1910. His father died in 1917 and the family fled by boat from Batumi to Constantinople in 1921
At the school, he became the lifelong friend of Dr. Charles L. Schepens. He received a grant to study civil engineering at the University of Louvain in Belgium. As a civil mining engineer he worked in Yugoslavia and was active in the resistance during World War II. After having been imprisoned by the gestapo, he could make it to the southern part of France where he continued working for the underground movement. Some time after the war he left France for Brazil. In 1962, upon invitation of Dr. Charles Schepens, he joined the Retina Foundation
OlegPomerantzeff1910 - 1993
Ernst Custodis 1898-1990
reported on the successful use of the segmented sclera buckle while Henricus J.M. Weve demonstrated the sclera stitch
Ernst Custodis (1898-1990) developed a technique whereby an episcleral polyvinyl cylinder was placed on the sclera and using compression sutures, the choroid was pushed against the retina. The indentation technique was born! Lindner resected the sclera to produce a similar compression. Charles Schepens brought us the use of a practical binocular indirect ophthalmoscope that allowed better viewing of the retina preoperatively and intraoperatively. Schepens brought us the equatorial band, which, over the years, has found a significant role in the surgical repair of retinal detachment. His role as the mentor of two generations of retinal specialists cannot be understated. Today's success rate in repairing detachments is 90% or better
1949 – advocated non-drainage segmental scleral buckling
1964 - Cryosurgery for retinal detachment
Drs. Harvey Lincoff and John McLean describe cryosurgery for the treatment of retinal detachment
Liquid nitrogen cryosurgical probe
Long metal sterilization tube consists of square platform, vertical tube and clamps for lid. Lid has thin square handle- cryoprobe screws into top for steriliztion. Donor file contains detailed description of instrument and numerous articles written between 1963 and 1969 about retinal detachment, intraocular lesions and ocular tumors
Meyer-Schwickerath developed photocoagulation in the 1950s
1920 - 1992
German ophthalmologist
Meyer-Schwickerath
1965 - Injection of silicone oil for retinal detachment
Cibis demonstrates the injection of silicone oil for the treatment of retinal detachment
1970 - First practical suction vitrectomy instrumentRobert Machemer, MD demonstrated the first
practical suction vitrectomy instrument for the treatment of retinal detachment.
Robert Machemer1933 - 2009
Pars plana vitrectomy for rhegmatogenous RD was augmented by three other innovations:
silicone oil by Paul Cibis in 1962
fluid-air exchange by Steven Charles in 1977
Ocutome Fragmatome and perfluorocarbon liquids by Stanley Chang in 1987
Hilton and Sanderson Grizzard introduced the third major category of modern retinal reattachment surgery, pneumatic retinopexy, in 1986
Спасибо за внимание