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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. This new edition provides a step by step guide to vitrectomy surgeries. Beginning with a description of the anatomy and physiology, the role of optical coherence tomography and anaesthesia, the following chapters discuss vitrectomy procedures for different ocular diseases and disorders. Written by a recognised Spanish author and editor team, the second edition includes new chapters, more than 350 full colour images and illustrations, and a DVD demonstrating vitrectomy surgery. Key points Step by step guide to vitrectomy surgery Includes new chapters Features more than 350 colour images and illustrations Includes DVD Spanish author and editor team Previous edition published in 2006
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.
Basics of Vitrectomy is a guide for practicing retinal surgeons. Vitreoretinal surgery is an evolving skill that entails a steep learning curve for surgeons and this book is designed to help them in that process. It explains each surgical maneuver through explicit, step-by-step explanations and intra-operative photographs. These photographs have been arranged with care, in a sequential order to make the narrative self-explanatory. In addition to theoretical inputs, the book also includes important explanations related to instrumentation and complications. The book contains 14 chapters covering the history and basics of surgery, management of common diseases like retinal detachment, macular surgery, and diabetic retinopathy, and complex problems like ocular foreign body and retinopathy of prematurity. Each chapter includes surgical tips apart from detailed aspects of each specific case, surgical notes, complications and prognoses. Through this book, the authors have aimed at engaging surgeons in a pictorial journey that clarifies all their basic concepts and questions and helps them in the process of knowledge building.
This volume in the new Surgical Techniques in Ophthalmology series offers step-by-step authoritative guidance on how to successfully perform basic retina and vitreous surgery for retinal detachments, and epiretinal membranes as well as more involved procedures such as complex scleral buckle for ROP and vitrectomy surgery for PVR. A wealth of full-color illustrations and photographs, tricks of the trade, clinical pearls, and a complete list of instruments and devices help you hone your skills and optimize every outcome. Best of all, a concise format complements the commentary and the surgical procedures on the accompanying DVD show you exactly how to proceed. Covers basic surgical principles as well as more involved procedures such as complex scleral buckle for ROP and vitrectomy surgery for diabetic tractional retinal detachments. vitreous surgery for PVR, ROP, and tumors, so you can refresh your technique or implement new ones. Features 200 full-color illustrations and a bonus DVD containing operative video clips of every vitreoretinal procedure you will need to know, to help you master new procedures, improve outcomes, and learn the latest techniques faster. Discusses post-operative care and potential complications of each surgical procedure, preparing you for any challenges you may face.
This book describes how trocar cannulas can be utilized by cataract surgeons in the treatment of complications of cataract injuries. Cataract is still the first cause of blindness in the world, and as such, complications inevitably occur during and after surgery. Trocar surgery has the potential to revolutionize anterior segment surgery, demonstrated here as an easy-to-use technique for conquering the pars plana region. This book describes the simple technique of trocar surgery utilizing trocar cannulas with clear and precise diagrams and video content, making it easy to learn and implement for cataract surgeons. Trocar Surgery for Cataract Surgeons systematically details how trocar surgery can be used to expand the surgical spectrum for cataract surgeons and provide the basis for novel surgical techniques in the field. The videos of this book are available at the Springer Link website.
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 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, 2nd Edition has been updated in response to the rapid increase of diabetes worldwide and the technical advancements in ocular surgery. New chapters on anatomy, surgery and novel laser photocoagulation strategies for diabetic retinopathy also feature in this revised edition. This book is an ideal source of information and guidance for all who are embarking upon such surgery or wish to further hone their skills.
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.
"There are many vitreoretinal surgical textbooks around. These resources are certainly useful and have their place, but they tend to be very detailed and occasionally esoteric. If you are a resident interested in retina or an early retina fellow, and if you are anything like I was when I was getting started, what you really want is a "nuts and bolts" primer about retina surgery. You want to know the basics. That is the point of this short book: To give early fellows and residents interested in retina a simple, step-by-step guide to getting started with retina surgery. The primer is organized into short chapters that each center on major retina surgeries. We start with tips for basic vitrectomy and quickly move to basic concepts and tips for the major categories of procedures you will find yourself doing. This short book is not meant to be all-inclusive. As mentioned, there are many good textbooks that cover many of these procedures in painstaking detail. This primer should help you understand retina surgery conceptually and practically, such that you will be ready as a resident or vitreoretinal fellow for your first retina case. The language used in this pocket guide is intentionally informal. It's meant to be easy to understand and have the feel of a senior fellow teaching you the basic how-tos of retina surgery. You'll notice the first-person plural "we" used often throughout this book. I have written the majority of the text in this book, but I use "we" because each of the contributing authors (all of whom are experts in the field of retina surgery) have helped in formulating this book. The authors of this primer carry a combined 93 years of vitreoretinal surgical experience while having trained at institutions including Bascom Palmer Eye Institute, the University of Iowa, Wills Eye Hospital, and the University of Alabama at Birmingham. The result is an easy-to-understand text written in a conversational style that summarizes the wisdom of multiple experts in the field. One other point deserves mentioning at the outset. There are many different ways to approach each of the surgeries described in this pocket guide. Do not read this pocket guide as dogma. Instead, use the text to help you get started with your understanding of retina surgery--as a jumping-off point. We describe our most common approaches to various surgeries, and we try to mention other approaches along the way, but it is simply impossible in a "pocket guide" to cover every approach. Still, the varied training background and experience of each of the authors lends this primer a certain breadth-rather than one author's opinion, we offer the opinions of multiple surgeons who often approach similar scenarios quite differently. It is our hope that this pocket guide makes a meaningful impact on your surgical training"--Provided by publisher.