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Previous Volume 359:2346-2354 November 27, 2008 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 57-year old man noted flashing lights in his right eye, followed two days later by a cluster of dark floaters that mildly interfered with his vision. He initially ignored these symptoms, but over the course of the next week, he noted a progressive loss of the nasal visual field in that eye, beginning inferiorly and spreading superiorly, with an eventual striking . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Preoperative Evaluation

Surgery

            Scleral Buckling Surgery

            Vitrectomy

            Pneumatic Retinopexy

Comparison of Procedures

Area of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Ophthalmology, Weill Cornell Medical College and New York–Presbyterian Hospital, New York.

An audio version of this article is available at www.nejm.org.

Address reprint requests to Dr. D'Amico at the Department of Ophthalmology, Weill Cornell Medical College, New York–Presbyterian Hospital, 1305 York Ave., 11th Fl., New York, NY 10021, or at djdamico@med.cornell.edu.

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