caa a22 4500 465777600 CHVBK 20180323111946.0 cr unu---uuuuu 170327e19900501xx s 000 0 eng 10.1007/BF00920024 doi (NATIONALLICENCE)springer-10.1007/BF00920024 Q-switched neodymium YAG laser vitreolysis in the therapy of posterior segment disease [Elektronische Daten] [Jonathan Jagger, A. Hamilton, Philip Polkinghorne] We describe our experience of ten cases of posterior segment vitreolysis, using the short-pulse neodymium YAG (Yittrium Aluminium Garnate) laser. Eight patients had proliferative diabetic retinopathy, one patient had had an intraocular foreign body removed and one patient had had uveitis. Of the ten, five patients had macular traction retinal detachments, three patients had progressive traction retinal detachments threatening the macula and two patients had recurrent vitreous haemorrhages from mechanical traction on areas of fibrovascular proliferation. Eight of the patients were successfully treated. One macular retinal detachment failed to flatten and a tear was found which may have been iatrogenic. In one patient with a traction retinal detachment significant traction was relieved but the detachment failed to flatten completely. We discuss the indications, techniques, difficulties and complications. Our experience suggests that this technique has an important role in the treatment of selected patients, sparing patients conventional vitrectomy, or making possible the treatment of those for whom vitrectomy has been contraindicated or refused. Anterior defocussing of the YAG would be a useful modification of current laser systems and improved aiming systems desirable for the future. Springer-Verlag, 1990 Jagger Jonathan Moorfields Eye Hospital, City Road, ECIV 2PG, London, UK aut Hamilton A. Moorfields Eye Hospital, City Road, ECIV 2PG, London, UK aut Polkinghorne Philip Moorfields Eye Hospital, City Road, ECIV 2PG, London, UK aut Graefe's Archive for Clinical and Experimental Ophthalmology Springer-Verlag 228/3(1990-05-01), 222-225 0721-832X 228:3<222 1990 228 417 https://doi.org/10.1007/BF00920024 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00920024 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jagger Jonathan Moorfields Eye Hospital, City Road, ECIV 2PG, London, UK aut NATIONALLICENCE 700 1- Hamilton A. Moorfields Eye Hospital, City Road, ECIV 2PG, London, UK aut NATIONALLICENCE 700 1- Polkinghorne Philip Moorfields Eye Hospital, City Road, ECIV 2PG, London, UK aut NATIONALLICENCE 773 0- Graefe's Archive for Clinical and Experimental Ophthalmology Springer-Verlag 228/3(1990-05-01), 222-225 0721-832X 228:3<222 1990 228 417 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer