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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. 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. The 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. The 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.
--NEW! chapters on the Constellation vitrectomy system, uveitis, retinal complications of permanent keratoprosthesis, and anti-VEGF therapy
--NEW! All illustrations were updated, the majority to a 25-gauge approach instead of 20-gauge, and many new illustrations were included.
--NEW! Many techniques and parameters unique to 25-gauge sutureless vitrectomy are discussed in detail. The authors use 25-gauge sutureless technique for all cases, and microincisional 23/25/27-gauge vitrectomy is growing in popularity on a worldwide basis.
--NEW! 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.
--NEW! 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.
--NEW! All chapters were updated and new references included.
--Comprehensive how-to guide to vitreoretinal surgical procedures by the foremost leader in the field
--Dr. Charles has performed more vitreoretinal surgery than any other surgeon in the world and developed many of the techniques and instruments used by all vitreoretinal surgeons.
--More than 170 three-dimensional full-color illustrations—many by Byron Wood, the Charles Retina Institute's resident medical artist
--Alternative approaches for surgical treatments are discussed as well as their pros and cons.
--Content provided in a step-wise fashion with extensive use of 3D color illustrations to enable surgeons to clearly visualize the techniques
--Previous edition was one of "Doody's Core Titles™ 2009"
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
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
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