The Presence of Breaks in Retinal Detachment

It was noticed as long ago as 1853, only a short time after the invention of the ophthalmoscope, that many detached retinae have minute full-thickness discontinuities (breaks) in them, but it was not until the 1920s that the full significance of these breaks as the basic cause of the detachment became realised. The breaks can be single or multiple and are more commonly situated in the anterior or more peripheral part of the retina. In order to understand how these breaks occur, it is necessary to understand something of retinal degeneration and vitreous changes.

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