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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 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.
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.
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 is the second edition of a highly successful textbook that in many areas has become the preferred manual of vitreoretinal surgery. It provides a complete guide to all common vitreoretinal surgical procedures and also covers diagnosis and other aspects of management. The book is designed to allow a trainee or professional vitreoretinal surgeon to determine the best methodology in individual cases. In order to acquaint the reader with different opinions, “surgical pearls” have been contributed by other international experts in the field. These have proved popular in the past as an illustration of alternative methods, without detracting from the overall method described by the main author. Vitreoretinal Surgery will continue to prove particularly popular amongst trainees, but will also be of value to practicing professionals who need help in the management of difficult and rare cases. The text is backed up by the provision of videos of some aspects of the surgery.
Concise, authoritative, and easy to navigate, The Duke Manual of Vitreoretinal Surgery offers a step-by-step, highly illustrated approach to the most commonly performed vitreoretinal operating room procedures. Ideal for vitreoretinal surgeons, ophthalmology residents, retina fellows, and OR nurses and scrub techs, it contains practical guidance from the highly esteemed vitreoretinal surgery fellowship program at Duke University making it an unparalleled “how-to” manual for the wide variety of cases and operative scenarios you may encounter.
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.
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 the introduction of vitrectomy in the 1970s, vitreoretinal surgery has rapidly developed. Initially, new instrumentations were created to facilitate intraocular maneuvers and to treat almost all the vitreoretinal pathologies. High speed vitrectome probs, forceps, scissors, endolaser probes, and new light sources (xenon/photon light) permit us to perform safer surgeries. However, in the last few years the approach to vitreoretinal surgery has changed with the introduction of small gauge instruments and sutureless surgery. At present there is still confusion among vitreoretinal surgeons about the use of 25-, 23- or 20-gauge sutureless systems. Leading surgeons in the field were recruited to offer their insights into the sutureless techniques they perform. Topics dealt with in the book include: - fluidics and technical characteristics of 23- and 25-gauge systems, - basic vitrectomy techniques of 23- and 25-gauge systems, - sclerotomy characteristics of the sutureless approach, - advantages and disadvantages of the sutureless technique, - vitreoretinal pathologies treated with 23- and 25-gauge systems, - complications of the sutureless technique, - current clinical data.
The text provides basic and comprehensive coverage of all aspects of surgery for the vitreous and the retina. The key to this volume is that it is technique based, thus giving the surgeon clear instructions on how to perform vitreoretinal surgery. Not only is this book authoritative, it is practical. Each chapter is fully illustrated with the steps performed in the actual surgical operation.