Written by a pioneering leader in the development of vitreoretinal surgical techniques and instruments, "Vitreous Microsurgery" is a comprehensive how-to guide to all vitreoretinal procedures. This thoroughly updated Fifth Edition describes many new techniques and refinements of established procedures. This title includes more than 170 three-dimensional full-color illustrations - many by the Charles Retina Institute's resident medical artist, Byron Wood-enable surgeons to clearly visualize the techniques. This edition has new chapters on the Constellation vitrectomy system, uveitis, retinal complications of permanent keratoprosthesis, and anti-VEGF therapy. All illustrations have been updated, the majority to a 25-gauge approach instead of 20-gauge, and many new illustrations have been added. Many techniques and parameters unique to 25-gauge sutureless vitrectomy are discussed in detail. The retinopathy of prematurity chapter was completely rewritten to address new examination procedures, laser guidelines, anti-VEGF therapy, and changing, more conservative indications for surgery.
The section on anesthesia for vitreoretinal surgery was completely rewritten in collaboration with Gary Fanning, MD and Jay Mattingly, MD, leading experts on this subject from an anesthesiologist's perspective. The focus of the text is on the decision making process a surgeon goes through in evaluating the best course of treatment for his/her patient undergoing vitreous surgery. This book describes in detail clinically proven methods of managing the anterior and posterior segment vitreous surgery patient in a systematic manner. The text is organized in a building block approach with general methodology preceding its application to specific disease states. This book stresses algorithms for intra-operative decision making, relying on knowledge of physical principles and performed in the order of ascending risk. A companion website included with purchase offers the fully searchable text and an online image bank.
Part 1: PRE-SURGICAL EVALUATION AND IMAGING 1: Pre-Surgical Evaluation Part 2: SURGICAL TECHNOLOGY AND TECHNIQUES 2: Surgical Systems, Tools and Operating Room 3: Constellation Architecture 4: Visualization and Illumination 5: Anesthesia and Operating Room Efficiency 6: General Posterior Segment Techniques 7: Vitrectomy Techniques & Technology for Anterior Segment Problems 8: Combined Phacoemulsification Vitrectomy Procedures 9: 25-Gauge Vitrectomy 10: 20-Gauge Sutured Wound Construction and Closure Part 3: IN-OFFICE PROCEDURES 11: Laser Photocoagulation 12: Pneumatic Retinopexy and Office Fluid Gas Exchange Part 4: DISEASE-SPECIFIC MANAGEMENT 13: Prophylaxis of Retinal Breaks and Scleral Buckling 14: Vitrectomy for Retinal Detachment 15: Giant Breaks 16: Proliferative Vitreoretinopathy 17: Epimacular Membranes and Vitreomacular Traction Syndrome 18: Macular Holes 19: Diabetic Retinopathy 20: Venous Occlusive Diseases 21: Treatment of Choroidal Neovascular Membranes: Intravitreal Injection Technique 22: Trauma 23: Endophthalmitis 24: Surgical Management of the Uveitis Patient 25: Retinopathy of Prematurity and Pediatric 25-Gauge Vitrectomy 26: Pediatric Traction Retinal Detachments 27: Management of Vitreoretinal Complications Associated with Keratoprosthesis 28: Inadvertent Penetration of the Eye 29: Suprachoroidal Hemorrhage 30: Complications of Vitreoretinal Surgery 31: Surgical Self-Education