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This book provides step-by-step instructions on how to operate with 27G instrumentation in a wide range of surgical indications, including vitreous floaters, macular holes, dropped nucleus, retinal detachment, diabetic retinopathy, submacular hemorrhage, retinopathy of prematurity and much trauma. All surgeries are approached in cookbook fashion, with initial coverage of the “ingredients” (devices and instruments) and then meticulous description of preparation and performance with supporting photographs, drawings and videos. In addition, the differences and benefits in comparison with 23G and 25G vitrectomy are highlighted. Small-gauge vitrectomy has radically changed the ways in which vitrectomy is performed. 27G vitrectomy is the most recent and most exciting development in small-gauge vitrectomy. The healing time is faster but the small diameter prolongs the duration of surgery. This obstacle has been overcome with powerful new vitrectomy machines and revolutionary vitreous cutters with two cutting blades making 27G vitrectomy as fast as 25G. This new equipment has expanded the indications for 27G surgeries immensely from detachment surgery to retinopathy of prematurity and the advent of new instruments may make 27G the gold standard in the future. This book, written by authors with huge experience in 27G vitrectomy, will enable surgeons to fully exploit its advantages.
Since publication of the first edition of this book in 2012 vitreoretinal surgery has marched with huge steps forward. In 2012 23G was standard, today 25G and 27G are the most commonly used gauge sizes for vitrectomy. In 2012 the cutting rate was 5.000 cuts/min and today with the development of a novel vitreous cutter the cutting rate has increased to 16.000 cuts/min. The advent of 25G/27G made the instruments smaller and surgery less traumatic. Practical Handbook for Small-Gauge Vitrectomy: A Step-By-Step Introduction to Surgical Techniques, 2ndEdition focuses on these new developments and features new chapters on PVR detachment, intraocular tumour, macular translocation, sub macular hemorrhages and ocular trauma. The surgeries are demonstrated step-by-step and the material is shown in detail and videos visualize the surgery.This book will serve as an immensely useful guide for all surgeons who are intending to make use of this exciting and increasingly used technique.
The vitreous humour is a clear gel positioned behind the iris (coloured part) and the lens, and in front of the retina (back of the eye). Vitrectomy is the surgical removal of the vitreous humour, a procedure needed to allow ophthalmic surgeons to diagnose and treat underlying disease in the eye. Small gauge minimally invasive vitreous surgery (MIVS) allows ophthalmic surgeons to make smaller incisions, reducing the need for sutures and therefore increasing the speed of recovery. This practical book presents ophthalmic surgeons with the most recent advances in MIVS, with emphasis on the differences between gauge sizes. Beginning with an introduction to the technique and anaesthesia, the following chapters discuss MIVS for different disorders. More than 190 full colour images and illustrations, and a DVD demonstrating MIVS procedures help retinal surgeons learn how to minimalise surgical trauma by reducing the gauge size of vitrectomy instruments. Key points Presents ophthalmic surgeons with most recent advances in minimally invasive vitreous surgery Emphasis on differences between gauge sizes Includes DVD demonstrating surgical procedures Comprehensive text enhanced by more than 190 colour images and illustrations
Over the last two decades, tremendous progress has been made in vitrectomy surgery, most importantly the significant reduction of the gauge and implementation of microincision vitrectomy surgery (MIVS). At the same time, the introduction of wide-viewing systems and the utilization of vital dyes to better recognize structures like the vitreous and membranes have taken place. This volume starts with the fundamentals of MIVS, introducing both the mechanics and the physics of the latest generation of vitrectomy devices, followed by a description of the discrete gauge systems (i.e. 23-, 25-, and 27-gauge). Individualized but mandatory settings, techniques, and technology are also discussed in detail. There are also more than ten chapters outlining concrete surgical strategies that give surgeons a thorough overview of the procedures.
The value of this book lies in the quality and expertise of the text chapters contributed by multiple international experts across the globe. Clearly written by the contributors providing a global perspective about the subject. Attempts to update the state-of-the-art vitreoretinal surgery in a lucid, authoritative and well-illustrated manner. Detailed reference lists following each chapter provide extensive background support for the text. Outstanding illustrations combined with excellent schematic drawings, beautiful clinical photographs, fluorescein angiograms, and OCT images. Illustrations.
This book describes step by step how to operate on the patient with diabetic retinopathy. After thorough explanation of surgical planning, including the potential need to perform individual procedures at different time points, each stage of the vitrectomy is clearly documented with the aid of color photographs and drawings as well as online surgical videos. Variations in approach are described that are potentially of value, depending on whether one is dealing with a straightforward diabetic retinopathy or a difficult case of tractional retinal detachment. In the second part of the book, a series of case reports are presented that illustrate the surgical procedures applicable in different circumstances. In addition, pearls and pitfalls are highlighted. Small-Gauge Vitrectomy for Diabetic Retinopathy will be an ideal source of information and guidance for all who are embarking upon such surgery or wish to further hone their skills.
This book covers the entire range of vitreoretinal surgeries. The first section covers essential information about the anatomy and the appropriate diagnostic techniques which helps in preoperative evaluation. The second section is on surgical instrumentation, and includes adjuncts used in VR surgery. Advanced instrumentation such as 3D visualization system, endoscopic vitrectomy and robotic surgeries are well described in the chapters. The later sections deal with the surgical technique for different disease entities. Management of posterior segment complication of anterior segment surgeries such as cataract and keratoprosthesis are reviewed in detail. A section on gene therapy has been incorporated. This book will help the reader to gather a detailed round-up of basics of and advances made in the field of vitreoretinal surgery. It is supplemented with videos. This book is meant for practicing retinal surgeons, those in training as well as students with interest in vitreoretinal surgery.
This book presents the most modern and innovative techniques in ocular surgery currently utilized by experts in the field. All aspects of ocular surgery from the front to the back of the eye are covered in this resource, with all surgeries demonstrated as ‘recipes’ with first the ingredients and then the surgical techniques with step-by-step instructions. The surgeries are illustrated with photographs, drawings and videos for practical application, and the step-by-step presentation allows for quick and easy access to the most appropriate techniques in ocular surgery.
Master new procedures and improve outcomes with Operative Techniques in Vitreoretinal Surgery. This easy-to-read, “how-to surgical atlas offers expert, step-by-step guidance on how to successfully perform basic retina and vitreous surgery as well as more involved complex and advanced procedures. Edited by Abdhish R. Bhavsar, MD, this unique resource focuses on the essentials of operative technique, helping both the novice and advanced retina surgeon make the most of the latest, most effective procedures in this fast-moving field. Covers commonly performed and more complex vitreoretinal surgical techniques as well as surgical approaches to specific disorders—all using up-to-date methods and technology. Contains more than 300 high-quality clinical photographs and illustrations with clear explanations. Includes key topics such as scleral buckle surgery, vitrectomy surgery including 27 gauge, managing intraocular tumors, iris and scleral fixation of dislocated intraocular lenses, including the Yamane technique, the latest ROP surgical management, and modern vitreous implant surgical approaches. Discusses the latest techniques for repairing very large or failed macular holes, robotic retina and vitreous surgery, artificial retinal prosthesis surgery, and delivery of subretinal gene therapy. Highlights clinical pearls, pitfalls, and potential complications throughout. Features more than 60 video clips that demonstrate key procedures and techniques. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
This book is a comprehensive and systematic introduction to the basic theory, surgical techniques and the latest advances in vitrectomy. It focuses on vitreoretinal surgical indications and contraindications, surgical and operating techniques, surgery-related complications and their prevention, post-operation evaluation and prognosis. The book is divided into 6 chapters and has abundant content as well as a strong scientific and practical value. This book will be a valuable reference to ophthalmologists on all levels, especially vitreoretinal surgeons and researchers.