Small Gauge Vitrectomy For Diabetic Retinopathy

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.

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.

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.

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

This mini atlas is a comprehensive guide to the latest developments and current concepts in diabetic retinopathy. Complemented by a photo CD, the book brings readers fully up to date with diagnostic and treatment approaches to this progressive disease. Beginning with an introduction to the epidemiology and pathogenesis of the disease, the text then discusses diagnosis techniques such as optical coherence tomography and fluorescein angiography. The following chapters examine surgical techniques including vitreoretinal surgery, laser hyaloidotomy and laser photocoagulation.

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.