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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.
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 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.
Recently developed diagnostic and therapeutic technologies such as OCT-angiography and small gauge vitrectomy have influenced the modern treatment of diabetic retinopathy. This volume provides a summary of the state-of-the-art evidence-based approach to managing complications that may occur with diabetic retinopathy. It offers the latest information on pathogenesis and diagnosis, and highly experienced clinicians review the results of relevant randomized clinical trials that serve as the basis of current therapy. The book provides not only a summary of data from randomized trials but also an analysis and interpretation by internationally renowned experts. Ophthalmology residents, fellows, and practicing clinicians will find this book to be a useful reference when seeking evidence-based treatment strategies for various complications of diabetic retinopathy. It is also for researchers identifying new avenues of drug developments and for insurance professionals and health care policy administrators who are establishing evidence-based therapy guidelines for therapeutic intervention.
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.
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 explains how to use intravitreal steroids optimally in the management of patients with intraocular inflammation (uveitis) and macular edema. The rationale for this treatment approach is first explained by examining the pathophysiology of these disease entities, with particular attention to the major role of inflammatory processes. Devices for the delivery of steroids to the eye are discussed, and guidance provided on the role of imaging studies before, during, and after steroid therapy. The value of different steroidal approaches is then considered in detail. Other topics addressed include the use of steroids as a surgical adjunct and within a combination strategy. Uveitis and macular edema are common sight-threatening diseases or complications of diabetes and retinal vein occlusion for which no adequate treatment was available until recently. Both trainees and practitioners will find Intravitreal Steroids to be an invaluable aid in combating these blinding diseases.
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 provides a concise overview over the pathology of retinal angiogenic diseases and explains why anti-angiogenic therapy is effective in so many patients. The reader is guided through the various clinical indications for anti-angiogenic therapy and made aware of its merits as well as current challenges and limitations. It is explained how, since its introduction for the treatment of exudative age-related macular degeneration in 2006, anti-angiogenic therapy has revolutionized the way in which we treat a range of ocular diseases. All of the authors are established experts in their respective fields who share their extensive knowledge and clinical experience with the reader. This book is both a valuable introduction to anti-angiogenic therapy in ophthalmology and a day-to-day companion for all ophthalmologists seeing patients with some of the most prevalent retinal diseases.
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.