ROBERT MACHEMER: A PIONEER IN VISION Duke Eye Center Stephen J. Ryan April 30, 2010 Durham, NC
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Transcript of ROBERT MACHEMER: A PIONEER IN VISION Duke Eye Center Stephen J. Ryan April 30, 2010 Durham, NC
ROBERT MACHEMER:
A PIONEER IN VISION
Duke Eye Center
Stephen J. RyanApril 30, 2010Durham, NC
Robert MachemerVisionaryCreativeFather of vitrectomyCourage – first casesEngineering and
MedicineBascom Palmer and DukeTeacher, colleague, and
friend
Creativity vs. Problem Solving
NovelSimpleElegantEffective
Generative
Robert MachemerOpened the Vitreous
SpaceVitreo Retinal
SurgeonsEndo Surgery
Intraocular and Other
Pathogenesis of R.D.
Vitreous Surgery
Opened whole new fieldEducated many trainees Future
LeadersGenerous with his time and
encouragementStimulated ideasEncouraged Critical Thinking
Research Influenced by Robert Machemer
Vitreous Surgery – Clinical and ResearchPathogenesis of Retinal detachment
RhegmatogenousTraction
Translational research patientsMany other areas
ClinicalResearch
ClinicalObservations
AnimalResearch
Clinical Practice
LaboratoryResearch
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.
TRACTION RETINAL DETACHMENTWOUND HEALING
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
Final Common Pathway
Breakdown of Blood Retinal Barrier
AbnormalVitreous
MigrationProliferation
Contraction
Traction Detachment
Trauma PVR PDR
COMMERCIALIZATION
CLINICALRESEARCH
BASIC RESEARCH
TRANSLATIONALRESEARCH
IDEA
PATIENT
CLINICIAN
Robert MachemerVisionaryCreativeFather of vitrectomyBascom Palmer and DukeTeacher, colleague, and
friend
PIONEER