Limited Offer
Save 50% on book bundles
Immediately download your ebook while waiting for your print delivery. No promo code needed.
Operative Techniques in Vitreoretinal Surgery
- 1st Edition - May 21, 2022
- Editor: Abdhish R. Bhavsar
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 0 9 2 0 - 0
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 0 9 2 1 - 7
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 guidan… Read more
Purchase options
Institutional subscription on ScienceDirect
Request a sales quoteMaster 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.
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- List of contributors
- Preface
- Video contents
- List of Tables
- List of Illustrations
- Section 1: Surgical Techniques
- 1. Scleral buckle surgery
- Instruments and devices
- Indications and contraindications
- Surgical technique
- Outcomes
- Common postoperative complications of scleral buckling
- References
- 2. Vitrectomy surgery
- Instrumentation
- Clincal examination
- Imaging
- Indications
- Contraindications
- Controversies regarding indications and contraindications
- The history of vitreous surgery
- Modern vitrectomy surgery
- Flow control and vitreous cutter dynamics
- Preoperative preparation
- Procedure
- Surgical technique pearls
- Surgical technique pitfalls
- Postoperative care
- Outcomes
- Postoperative pearls
- Complications
- Prognosis
- References
- 3. 23-gauge vitrectomy surgery
- Background
- Complications
- Future directions
- Conclusions
- References
- 4. 25-gauge vitrectomy surgery
- Instrumentation
- Clinical examination
- Imaging
- Indications
- Contraindications
- Surgical systems
- Preoperative preparation
- Surgical technique
- Surgical technique pearls
- Surgical technique pitfalls
- Postoperative care
- Complications
- Outcomes
- References
- 5. 27-gauge vitrectomy
- Introduction
- Instruments and devices
- Indications and contraindications
- Preoperative preparation
- Surgical technique
- Postoperative care
- Outcomes and prognosis
- Complications
- References
- 6. Epiretinal membrane surgery
- Instruments and devices
- Clinical examination
- Imaging
- Indications and contraindications
- Treatment options
- Surgical technique
- Outcomes
- Prognosis
- Complications
- References
- 7. Intravitreous injections
- Instrumentation
- Indications
- Background
- Preoperative preparation
- Procedure
- Postoperative care
- Complications
- Prognosis
- References
- 8. Pneumatic retinopexy
- Clincal examination
- Imaging
- Indications
- Contraindications
- Controversies regarding indications and contraindications
- History
- Instruments and devices
- Indications and contraindications
- Surgical technique
- Complications
- Outcome
- References
- 9. Air-fluid exchange
- Instrumentation
- Indications and contraindications
- Introduction
- Preoperative care
- The two-needle approach
- Fluid-gas exchange for vitreous hemorrhages
- Fluid-gas exchange for retinal detachment
- Fluid-gas exchange for recurrent macular hole
- Postoperative care
- Outcomes
- Complications
- References
- 10. Drainage of choroidal hemorrhage, detachment, or effusions
- Instruments and devices
- Indications and contraindications
- Surgical technique
- Video
- Postoperative care
- Outcomes
- References
- 11. Surgical vitreous implants
- Instrumentation and devices
- Preoperative assessment/examination
- Indications and contraindications
- Surgical technique
- Surgical technique pearls
- Surgical technique pitfalls
- Replacing the implant
- Postoperative care
- Complications
- Outcomes/prognosis
- References
- 12. Vitreous biopsy for endophthalmitis, uveitis, or cytology
- Introduction
- Endophthalmitis vitrectomy study
- Clinical examination
- Imaging
- Indications and contraindications for vitreous biopsy
- Uveitis
- Treatment options
- Surgical technique
- Preoperative regimen for needle aspiration
- Postoperative management
- Conclusion
- Financial disclosure
- References
- 13. Artificial retina/retinal prosthesis surgery
- The artificial retina
- Indications and contraindications
- Argus II retinal prosthesis devices and instruments
- Surgical technique
- Outcomes and prognosis
- References
- Section 2: Disease-Based Surgery
- 14. Macular hole surgery
- Instrumentation
- History
- The genesis of macular hole surgery
- Recent classification and etiology
- Preoperative assessment/clinical examination
- Imaging
- Indications and contraindications for surgery
- Treatment options
- Preoperative preparation
- Surgery for impending macular hole
- Surgery for full-thickness macular holes
- Surgical technique pearls
- Surgical technique pitfalls
- Postoperative care
- Postoperative pearls
- Outcomes/results
- Complications of surgery
- Prognosis
- Pathology of successful macular hole surgery
- Summary
- References
- 15. Surgery for recurrent, persistent, or large macular holes
- Amniotic membrane for recurrent/persistent macular holes
- Arcuate retinotomy, retinal mobilization, and full-thickness, autologous macular patch graft for failed macular holes
- The inverted ILM flap technique for recurrent, failed, or large macular holes
- Focal laser and gas-fluid exchange for failed or recurrent macular holes after vitrectomy surgery
- References
- 16. Proliferative diabetic retinopathy and vitreous hemorrhage
- Diabetic vitrectomy surgery
- Background
- Preoperative assessment/clinical examination
- Imaging
- Indications and contraindications
- Treatment options
- Preoperative medical therapy
- Surgical technique
- Outcomes
- Complications
- References
- 17. Surgical management of open-globe injuries
- Introduction and considerations for surgical intervention
- Surgical technique
- Surgical management of OGIS (non-IOFB cases)
- Surgical management of retained IOFBs
- Late complications
- Sympathetic ophthalmia
- Conclusions
- References
- 18. Surgery for proliferative vitreoretinopathy
- Overview
- Instruments/devices
- Indications and contraindications
- Surgical technique
- Outcome
- References
- 19. Surgery for submacular hemorrhage
- Instruments and devices
- Preoperative assessment/clinical examination
- Imaging
- Indications and contraindications
- Treatment options
- Surgical technique
- Outcomes
- Complications
- Prognosis
- References
- 20. Laser surgery for retinopathy of prematurity
- Instruments (Table 20.1)
- Background
- Preoperative assessment/clinical examination
- Imaging
- Indications and contraindications
- Treatment options
- Surgical technique
- Outcome
- Postoperative pearls
- Complications
- Risk management considerations
- Prognosis
- References
- 21. Scleral buckle surgery for retinal detachment associated with neonatal retinopathy of prematurity
- Instruments and devices
- Preoperative assessment/clinical examination
- Imaging
- Indications and contraindications
- Treatment options
- Surgical technique
- Outcomes
- Postoperative pearls
- Complications
- Additional considerations
- Conclusions
- References
- 22. Vitrectomy surgery for retinopathy of prematurity
- Instruments and devices
- Preoperative assessment and clinical examination
- Imaging
- Surgical indications and contraindications
- Treatment options
- Surgical technique
- Outcome
- Postoperative pitfalls
- Complications
- Prognosis
- References
- 23. Surgical biopsy techniques for intraocular tumors
- Background
- Indications and contraindications
- Preoperative assessment
- Instruments and devices
- Surgical technique
- References
- 24. Management of dislocated intraocular lenses or aphakia by scleral or iris fixation techniques
- Flanged IOL fixation technique
- Double vitreous forceps technique for scleral fixation of IOL
- Belt-loop assisted intrascleral fixation of IOL haptics
- Iris fixation of three-piece IOLs
- Gore-Tex sutured one-piece PMMA IOL
- Scleral fixation of Akreos AO60 PCIOL with Gore-Tex sutures
- References
- 25. Surgery for intraocular tumors
- Preoperative management
- Tumor biopsy
- Brachytherapy
- Proton beam radiotherapy
- Transscleral local resection (“exoresection”)
- Transretinal endoresection
- Enucleation
- Surveillance after treatment for uveal melanoma
- Conclusions
- References
- Section 3: Technology: Present and Future
- 26. Vitrectomy technology and techniques
- Wound construction and sutureless surgery
- Fluidics and cutting
- Infusion
- Surface tension management, exchanges, and drainage of subretinal fluid
- Management of epiretinal membranes
- Laser coagulation and retinopexy
- Endodiathermy
- Illumination and visualization
- Illumination and visualization
- Surgical technique pearls
- Surgical technique pitfalls
- Conclusions
- References
- 27. Vitrectomy instrumentation: Scissors, forceps, picks
- Introduction
- Instrumentation
- References
- 28. Vitrectomy visualization systems and techniques
- Instrumentation
- Background
- Wide-angle viewing systems
- Macula flat lenses
- Chromovitrectomy
- Endoillumination
- Other technologies
- Overcoming media opacities
- Conclusion
- References
- 29. Robotic surgery
- Procedures performed by intraocular surgical robotic systems
- Existing robotic systems and devices
- Intraocular robotic visualization
- Future directions
- References
- Section 4: Investigational Surgery and Techniques
- 30. Subretinal gene therapy delivery
- Overview
- Surgical technique
- Preoperative assessment and management
- Subretinal delivery step by step
- Postoperative assessment and management
- Complications
- Concluding thoughts
- References
- 31. AU-011 for choroidal melanoma
- Introduction
- Characteristics of AU-011
- Preclinical study of AU-011 for choroidal melanoma
- Clinical study of AU-011 for choroidal melanoma
- Devices and technique
- Conclusion
- References
- 32. The intersection of retina and glaucoma
- Introduction
- Combined glaucoma and vitreoretinal surgery
- Glaucoma following vitreoretinal surgery
- Glaucoma following vitroretinal procedures
- Secondary glaucoma following retinal conditions
- Retinal conditions following glaucoma treatments
- References
- Index
- No. of pages: 336
- Language: English
- Edition: 1
- Published: May 21, 2022
- Imprint: Elsevier
- Hardback ISBN: 9780323709200
- eBook ISBN: 9780323709217
AB
Abdhish R. Bhavsar
Affiliations and expertise
Senior Retina Surgeon and Partner, Retina Consultants Of Minnesota; President and Managing Partner, Legacy Retina Center of Minnesota; Past Chair, Phillips Eye Institute, Minneapolis; Adjunct Assistant Professor, University of Minnesota. Minneapolis, MN.