The Vitreous Body in 3-D
J.G.F. Worst M.D.

Euro Times review

In 1970 a new anatomical structure came to light:
The Bursa Premacularis. Other typical intravitreal structures followed. The results of the dissections and injections are illustrated in this vitreous anatomy three-dimensional publication.
The inner part of the eye has a fascinating anatomy. When dissecting eyes and injecting ink in various parts of the vitreous body, structures appear, with which only a few people became familiar. The author combined his profession as an eye surgeon with his photography hobby. A systems approach of the results appear in this book. Stereopictures make it possible to view a globe and its vitreous content, in three -dimensions.

Introduction

The anatomical study of the structure of the vitreous body is greatly limited by two factors: its transparency and its extremely high water content, wherefore fixation leads to extreme deformation and structural loss.

Efforts in the past to elucidate fine details of semi-macroscopical nature therefore have escaped notice, except in the hands of ancient researchers as for instance Petit, Zinn, Martegiani, Berger and Stilling.

With the advent of histological techniques hardly any further information has become available. A serendipitous examination of vitreous body in 1970 using an ancient subaqueous technique and injection of dyes revealed a new structure called the Bursa Premacularis.

This basic anatomical discovery has been left dormant. In particular because functional correlations with this highly structured premacular intravitreal structure were difficult to establish.

A peeling technique has been used whereby the sclera, choroid and retina are progressively removed and great effort is made to avoid any damage to the surface and of the membranes in the vitreous.

Simplifications of the dissection technique: (sub-aqueous dissection and simultaneous ink injection) have revealed a number of additional anatomical details, published in the book "Cisternal Anatomy of the Vitreous" by Worst, Jan G.F. and Los, Leonie I.

The transparent vitreal structures can best be depicted by three-dimensional photography.


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