Silicone Oil In Vitreoretinal Surgery

With this book, Dr. Zivojnovic presents to the ophthalmic community the long awaited detailed report of his surgical concepts and operative techniques in the field of vitreoretinal surgery. It is fascinating to read how his concepts for the treatment of complicated retinal detachments evolved from the intra ocular use of silicone oil to a combination of vitreous surgery with silicone oil tamponade. The next step was surgical treatment of the retina itself. It takes an unconventional mind to break major taboos and to state the retinotomies and retinectomies are necessary if scar tissue cannot be surgically removed and that buckling procedures are no longer necessary to treat retinal breaks. This book discusses the use of silicone oil in vitreoretinal surgery. Silicone oil tamponade has been proven to be a major step forward in vitreoretinal surgery and the reported results speak for themselves. The reader may have the impression that silicone is thought to be indispensible for almost all cases undergoing this type of surgery but this modality is used to treat severe cases where the chances of success are greatly enhanced by using silicone oil. Dr. Zivojnovic remains the forerunner and great surgeon who readily admits the limitations of his techniques: 'The surgical operative treatment is only partly adequate and, unfortunately, despite the correctly performed operation, often does not lead to the desired result'.

Silicone oil was introduced into ophthalmic surgery by Paul Cibis in the early 1960's in an attempt to treat giant retinal tears and cases where retinal detachment had failed to respond to conventional scleral buckling tech niques. His understanding of the nature of vitreous pathology and how it related to complex retinal detachment laid the foundation for modern vit reoretinal surgery. Cibis's success with these problems together with his rationale for sepa rating membranes from the retina led others to try their hand at learning his techniques. At the same time much criticism was levelled at the concept of injecting what was regarded as a foreign material into the eye, as well as to the whole idea of operating within the vitreous cavity. Some of this was personal, some due to a lack of understanding of the underlying pathology and some due to disappointment following surgical failure us ing the new methods. Early results were certainly encouraging but it was not until the advent of pars plana vitrectomy that it became possible to develop more refined methods in combination with the use silicone oil so that much better results could be obtained.

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.

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 is a comprehensive guide to the latest techniques in vitreoretinal surgery. Beginning with an introduction to the basics, each of the following chapters discusses surgical procedures for different retinal disorders. A complete section is dedicated to paediatric retinal surgery. Emerging techniques are also covered. This practical guide is an invaluable resource for both practising ophthalmic surgeons as well as trainees. More than 400 clinical photographs, diagrams and tables enhance learning. Key points Comprehensive guide to latest techniques in vitreoretinal surgery Covers numerous retinal disorders Paediatric retinal surgery covered Includes more than 400 clinical photographs, diagrams and tables

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.

The undisputed gold standard text in the field, Ryan's Retina is your award-winning choice for the most current, authoritative information on new technologies, surgical approaches, scientific advances and diagnostic and therapeutic options for retinal diseases and disorders. Packed with timely updates throughout, new illustrations, and a dedicated team of editors who extend Dr. Ryan’s legacy in retina, this outstanding 6th Edition is a must-have reference for retinal specialists, ophthalmologists, and fellows in training. Offers the most comprehensive content available on retina, balancing the latest scientific research and clinical correlations, covering everything you need to know on retinal diagnosis, treatment, development, structure, function, and pathophysiology. Provides a truly global perspective from five highly esteemed section editors and more than 350 other world authorities from across Europe, Asia, Australasia, and the Americas. Bullets Includes new chapters on widefield imaging, intraoperative OCT imaging, medical management of diabetes mellitus and age-related macular degeneration, and senile retinoschisis. Includes more than 1,150 brand-new illustrations, scans, and photographs throughout. Covers the explosion of new imaging options across optical coherence tomography (OCT), fundus imaging, and autofluorescence imaging, including a greatly expanded OCT imaging chapter that features crucial information on OCT-Angiography (OCT-A). Presents new pharmacotherapy data and the latest approaches in anti-VEGF therapy for age-related macular degeneration, diabetic retinopathy, and venous occlusive disease. Features an expanded online video library highlighting the latest surgical techniques and new coverage of complications of vitreoretinal surgery. Contains thorough content updates in every area of retina, including advanced imaging technologies, gene therapy, inflammation and immune responses, white dot syndromes, epigenetic mechanisms, transplantation frontiers to improve retinal function, macular hole, myopic eye disease, ocular trauma, drug delivery to the posterior segment, advances in macular surgery, vitrectomy and complex retinal detachment, tumors, and retinal genetics and biology. Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

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.