Practical Handbook For Small Gauge Vitrectomy

Since the development of 23G vitrectomy in 2004, the technique has revolutionized retinal surgery by overcoming a number of the problems associated with 20G and 25G systems and offering significant improvements in surgical capability and fluidics. This important book first discusses the instruments and equipment employed in 23G vitrectomy and then explains, step by step, the various surgical techniques with the aid of informative diagrams and many high-quality photos. In addition, videos are included that document the different procedures, from the straightforward to the demanding. 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, 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.

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

Every cataract surgeon is afraid of complications, but while complications cannot be entirely avoided, it is possible to learn to master them. This practical handbook clearly explains how to manage the various complications that may arise during cataract surgery, from a subluxated intraocular lens to a dropped nucleus. It provides the surgeon with clear instructions on how best to proceed in the manner of a cookbook, by first describing the ingredients (equipment) and preparation (planning) and then providing step by step descriptions of technique with the aid of numerous helpful color illustrations and several accompanying surgical videos. Surgical pearls and tips and tricks are highlighted. Using this book, the reader will become a better and more complete cataract surgeon, well equipped to cope with the full range of potential complications.

This book is exceptional in explaining not only when and how but also why vitrectomy is performed – an additional focus that will help trainee surgeons to develop their own critical thinking. Uniquely, the book’s first part describes “the life of the vitreoretinal surgeon” to help residents decide whether the field is indeed suitable for them, and if yes, how they can chart their own course in the absence of a formal fellowship program. The second and third parts discuss the fundamentals in VR surgery, such as the general philosophy underlying vitrectomy, equipment, examination, timing, anesthesia, the surgeon’s posture, and the organization of the operating room. The final two parts are dedicated to surgical strategy and tissue tactics, reviewing the principles of surgical maneuvers and the practical sides of diagnosis-specific issues. An appendix is also included, which offers additional guideposts for the aspiring trainee surgeon, including a description of how an ideal mentor should act in surgery. The book is written in an easy-to-follow format with bullet points and text boxes, and has well over 250 color images and line drawings as well as over 60 tables.

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.