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Biomicroscopy of the Peripheral Fundus: An Atlas and by Georg Eisner

By Georg Eisner

It provides me specific excitement to put in writing the foreword to this booklet; this can be principally in view that i've got dedicated a considerable a part of my lifestyles to the enhance­ ment of the tools utilized in ophthalmic learn. hardly ever has one in every of my scholars taken the potential for dealing systematically with the probabilities of those equipment. Dr. Eisner is, in spite of the fact that, this type of exceptions. First, he has considerably enhanced the indentation touch glass; secondly, he has, with untiring enthusiasm, made a scientific choice of the conventional and pathologic findings, which, with the aid of the indentation touch glass and the slit lamp, may be saw within the outermost outer edge of the fundus and the ciliary physique. He has in comparison them to findings got with moderate magnification in post-mortem eyes and to histological sections. as a result of a lucky condition, W. Hess, who's either an exceptional draughts guy and a grasp of the particular exam approach, used to be in a position to reproduce the visible phenomena faithfully. The reader who attempts to interpret those illustrations spatially will become aware of that this was once frequently tough. it's a approach which calls for a undeniable attempt of imagi­ state of area, yet that is very lucrative. Dr. Eisner's monograph is an creation to a little-known department of biomicroscopy which broadens our technique of prognosis and gives you additional attention-grabbing facets for the long run. I want him well-earned success.

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It is pressed tightly against the anterior hyaloid membrane, which is thus stretched and folded upon the processes. The plicae and peaks observed there are thus probably all indentation artefacts (Fig. 37). The anterior hyaloid membrane comes into contact with the ciliary body only at the middle of the pars plana. A whitishgrey line, the" white midline", is found at this point. Above the posterior pars plana, L e. between the white midline and the ora 23 serrata, the anterior hyaloid membrane can be discerned only with great difficulty.

57). They are of different sizes. Many of them are scarcely visible, others are quite prominent. As their inner layer has the same structure as the still attached surroundings, small cysts can be diagnosed only if they can be shown to be transparent via retro-illumination or by examination in silhouette. In the anterior pars plana, they may be observed as well-rounded macrocysts which, singly, fill the entire space between two striae ciliares. Neighbouring cysts are separated at the striae ciliares by a deep sulcus (Fig.

Equatorial degenerations are of great clinical importance, since retinal holes, if present there, may induce retinal detachment. How great is this danger? We have, in fact, a situation predisposing to retinal detachments since the split in the vitreous cortex may provide a free passage from the liquid central vitreous through the underlying retinal hole into the retro-retinal space. The presence of this passage is demonstrated by the not infrequent pockets of retro-retinal fluid. However, these may remain stationary for years.

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