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All cases of retinal detachment must be referred urgently to an ophthalmologist During transportation, the patient s head is positioned so that the detached portion of the retina will fall back with the aid of gravity Treatment of rhegmatogenous retinal detachment is directed at closing the tears A permanent adhesion between the neurosensory retina, the retinal pigment epithelium, and the choroid is produced in the region of the tears by applying cryotherapy to the sclera or laser photocoagulation to the retina To achieve apposition of the neurosensory retina to the retinal pigment epithelium while this adhesion is developing, indentation of the sclera with a silicone sponge or buckle; subretinal fluid drainage via an incision in the sclera; and injection of an expansile gas into the vitreous cavity, possibly following intraocular surgery to remove the vitreous (pars plana vitrectomy), may be required Certain types of uncomplicated retinal detachment may be treated by pneumatic retinopexy, in which an expansile gas is initially injected into the vitreous cavity followed by positioning of the patient s head to facilitate reattachment of the retina Once the retina is repositioned, the tear is sealed by laser photocoagulation or cryotherapy All the stages of pneumatic retinopexy can be performed under local anesthesia as an office procedure The last stage is the same as is used to seal retinal tears without associated detachment as prophylaxis against recurrence In complicated retinal detachments particularly those in which fibroproliferative tissue has developed on the surface of the retina or within the vitreous cavity, ie, traction retinal detachments retinal reattachment can be accomplished only by pars plana vitrectomy, direct manipulation of the retina, and internal tamponade of the retina with air, expansile gases, or even silicone oil (The presence of an expansile gas within the eye is a contraindication to air travel, mountaineering at high altitude, and nitrous oxide anesthesia Such gases persist in the globe for weeks after surgery) (See 37) Treatment of serous retinal detachments is determined by the underlying cause. crystal report 10 qr code QR Code Crystal Reports Generator 15.02 Free download
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i am creating windows application using crystal report. now i want to add qr code into my report how i generate qr code and place to my report. The primary event in rhegmatogenous retinal detachment is the development of a retinal tear This is usually spontaneous, related to changes in the vitreous, but may be secondary to trauma Spontaneous detachment occurs most frequently in persons over 50 years of age Myopia and cataract extraction are the two most common predisposing causes Once there is a tear in the retina, fluid vitreous is able to pass through the tear and lodge behind the sensory retina This, combined with vitreous traction and the pull of gravity, results in progressive detachment The superior temporal area is the most common site of detachment The area involved rapidly increases, causing corresponding visual loss usually spreading upward across the field of vision Central vision remains intact until the macula becomes detached The basis of traction retinal detachment is the development of preretinal fibrosis, such as in association with crystal reports 9 qr code How to add QR Code in Crystal Report - CodeProject
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