robert machemer: a pioneer in vision duke eye center stephen j. ryan april 30, 2010 durham, nc
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ROBERT MACHEMER: A PIONEER IN VISION Duke Eye Center Stephen J. Ryan April 30, 2010 Durham, NC. Robert Machemer. Visionary Creative Father of vitrectomy Courage – first cases Engineering and Medicine Bascom Palmer and Duke Teacher, colleague, and friend. - PowerPoint PPT PresentationTRANSCRIPT
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ROBERT MACHEMER:
A PIONEER IN VISION
Duke Eye Center
Stephen J. RyanApril 30, 2010Durham, NC
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Robert MachemerVisionaryCreativeFather of vitrectomyCourage – first casesEngineering and
MedicineBascom Palmer and DukeTeacher, colleague, and
friend
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Creativity vs. Problem Solving
NovelSimpleElegantEffective
Generative
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Robert MachemerOpened the Vitreous
SpaceVitreo Retinal
SurgeonsEndo Surgery
Intraocular and Other
Pathogenesis of R.D.
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Vitreous Surgery
Opened whole new fieldEducated many trainees Future
LeadersGenerous with his time and
encouragementStimulated ideasEncouraged Critical Thinking
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Research Influenced by Robert Machemer
Vitreous Surgery – Clinical and ResearchPathogenesis of Retinal detachment
RhegmatogenousTraction
Translational research patientsMany other areas
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ClinicalResearch
ClinicalObservations
AnimalResearch
Clinical Practice
LaboratoryResearch
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Penetrating Ocular InjuriesTrauma model Penetrating injuries –
more detachments than blunt injuries
Penetrating injuries alone no R.D.
Blood alone no R.D.Injury + Blood R.D.
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TRACTION RETINAL DETACHMENTWOUND HEALING
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Clinical ManagementRhegmatogenous R.D.After penetrating injury, two rows of 360
extensive cryotherapy to prevent RRDHuge additional inflammatory stimulus
After Vitrectomy – different RxVitrectomy Remove stimulus to
inflammation and wound repair
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Final Common Pathway
Breakdown of Blood Retinal Barrier
AbnormalVitreous
MigrationProliferation
Contraction
Traction Detachment
Trauma PVR PDR
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COMMERCIALIZATION
CLINICALRESEARCH
BASIC RESEARCH
TRANSLATIONALRESEARCH
IDEA
PATIENT
CLINICIAN
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Robert MachemerVisionaryCreativeFather of vitrectomyBascom Palmer and DukeTeacher, colleague, and
friend
PIONEER