The Duke Manual of Vitreoretinal Surgery

 

Description:

 

Concise, authoritative, and easy to navigate, The Duke Manual of Vitreoretinal Surgery offers a step-by-step, highly illustrated approach to the most commonly performed vitreoretinal operating room procedures. Ideal for vitreoretinal surgeons, ophthalmology residents, retina fellows, and OR nurses and scrub techs, it contains practical guidance from the highly esteemed vitreoretinal surgery fellowship program at Duke University making it an unparalleled “how-to” manual for the wide variety of cases and operative scenarios you may encounter.

 

 

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Table of Contents:

 

 

Section I: Just the Basics

Chapter 1: The Preoperative Discussion

GOALS OF THE PREOP DISCUSSION

INFORMED CONSENT DISCUSSION

PLANNING FOR POSTOP CARE

Specific Situations

Chapter 2: Vitrectomy Systems

STELLARIS PC AND STELLARIS ELITE VISION ENHANCEMENT SYSTEMS (FIGS. 2.1 AND 2.2)

CONSTELLATION (FIG. 2.4)

EVA (ENHANCING VISUAL ACUITY) (FIG. 2.5)

VERSAVIT 2.0 (FIG. 2.7)

Chapter 3: Vitrectomy Machine Settings

INFUSION AND INTRAOP IOP CONTROL

OTHER SETTINGS

Chapter 4: Lenses and Viewing Systems

SUMMARY

Chapter 5: Setting Up for Vitreoretinal Surgery

Section II: Pars Plana Vitrectomy

Chapter 6: Gauge Selection and Cannula Placement

ADVANTAGES AND DISADVANTAGES OF CANNULAS VS SCLEROTOMIES WITHOUT CANNULAS

Advantages

Disadvantages

Trocar Insertion and Cannula Placement

Cannula Removal

Advantages of Smaller Gauge Vitrectomy

Disadvantages of Smaller Gauge Vitrectomy

HYBRID GAUGE AND MIXED GAUGE VITRECTOMY

Chapter 7: Getting and Maintaining Your View

PREOPERATIVE CONSIDERATIONS

INTRAOPERATIVE CONSIDERATIONS (VIDEO 7.1)

Chapter 8: Vitrectomy Surgery Steps

PREOPERATIVE CONSIDERATIONS

SURGICAL STEPS (VIDEO 8.1)

Chapter 9: PVD Induction

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE (VIDEO 9.1)

MANAGING A TIGHTLY ADHERENT POSTERIOR HYALOID

POSTOPERATIVE CONSIDERATIONS

Chapter 10: Illumination During Vitreous Surgery

FOCAL ILLUMINATION (FIG. 10.1)

DIFFUSE ILLUMINATION (FIG. 10.2)

CHANDELIER ILLUMINATION (FIG. 10.3)

ILLUMINATED INSTRUMENTS

SOME LIGHT SOURCES

Chapter 11: Endolaser Types and Settings

TYPES OF ENDOLASERS

ENDOLASER PROBE TYPES

Laser Settings

WORKFLOW

Tips

Indirect Laser

Laser Risks

Section III: Vitreoretinal Surgical Adjuncts

Chapter 12: Intraoperative Visualization Agents

TRIAMCINOLONE ACETONIDE

INDOCYANINE GREEN

TRYPAN BLUE

BRILLIANT BLUE

Chapter 13: Perfluorocarbon Liquid

PREOPERATIVE CONSIDERATIONS

INDICATIONS

TECHNIQUES AND PEARLS (VIDEO 13.1)

SPECIAL SCENARIOS

Chapter 14: Gas Tamponade

ADVANTAGES OF GAS AS AN INTRAVITREAL TAMPONADE

CHOICES FOR GAS TAMPONADE

HOW TO DRAW UP 100% (UNDILUTED) EXPANSILE GAS (FIG. 14.3, VIDEO 14.1):

TIPS

Chapter 15: Silicone Oil Tamponade

PREOPERATIVE CONSIDERATIONS

TYPES OF SILICONE OIL

POTENTIAL COMPLICATIONS OF SILICONE OIL

Short Term

Long Term

SILICONE OIL REMOVAL

Preoperative Considerations

SURGICAL PROCEDURE (VIDEO 15.1)

POSTOPERATIVE CONSIDERATIONS

Section IV: Exchanges

Chapter 16: Fluid Air Exchange

CONSIDERATIONS PRIOR TO FAX

FAX WITHOUT THE USE OF PFCL (VIDEO 16.1)

FAX WITH THE USE OF PFCL

Chapter 17: Air Gas Exchange

Chapter 18: Air Silicone Oil Exchange

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE

OIL INJECTION IN AN APHAKIC EYE OR EYE WITH ACIOL

PROBLEMS AND PEARLS

Chapter 19: Perfluorocarbon Liquid Silicone Oil Exchange

STEPS FOR PFCL AIR SILICONE OIL EXCHANGE

STEPS FOR DIRECT PFCL SILICONE OIL EXCHANGE (VIDEO 19.1)

Section V: Rhegmatogenous Retinal Detachment

Chapter 20: Rhegmatogenous RD vs Exudative RD vs Retinoschisis

DIFFERENTIATING FACTORS

DIAGNOSTIC IMAGING AND OTHER TECHNIQUES

Chapter 21: Retinal Break Localization

Chapter 22: Pneumatic Retinopexy

PREOPERATIVE CONSIDERATIONS

Indications

Contraindications

Procedural Planning

SURGICAL PROCEDURE

POSTOPERATIVE CONSIDERATIONS

Chapter 23: Scleral Buckling Basics

Chapter 24: Scleral Buckling Steps

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE

Chapter 25: Radial Elements

PREOPERATIVE CONSIDERATIONS

TYPES OF RADIAL ELEMENTS

SURGICAL TECHNIQUES

POSTOPERATIVE CONSIDERATIONS

Chapter 26: External Subretinal Fluid Drainage

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE

POSTOPERATIVE CONSIDERATIONS

Chapter 27: The Chandelier Buckle

PREOPERATIVE CONSIDERATIONS

Indications

Advantages

Disadvantages

SURGICAL PROCEDURE: CHANDELIER-ASSISTED SCLERAL BUCKLE (VIDEO 27.1)

Chapter 28: Vitrectomy for RRD

PREOPERATIVE CONSIDERATIONS

Advantages

Disadvantages

SURGICAL PROCEDURE (VIDEO 28.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 29: Posterior SRF During Vitrectomy for RRD

LEAVE THE SRF IN PLACE AND POSITION THE PATIENT FACEDOWN

CREATE A POSTERIOR DRAINAGE RETINOTOMY

USE PFCL

Chapter 30: Scleral Buckle and Vitrectomy for RRD

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE (VIDEO 30.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 31: Postop Positioning

Section VI: Macular Surgery

Chapter 32: Epiretinal Membrane

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE (VIDEO 32.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 33: Macular Hole

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE

Special Considerations

POSTOPERATIVE CONSIDERATIONS

Chapter 34: Advanced Vitrectomy Techniques for Macular Holes

PREOPERATIVE CONSIDERATIONS

INVERTED ILM FLAP (VIDEO 34.1)

Modifications

INTERNAL LIMITING MEMBRANE RETRACTING DOOR

RELAXING RETINOTOMIES

PLATELET-RICH PLASMA

INDUCING MACULAR DETACHMENT

Modifications

Chapter 35: Autologous Retinal Transplant

PREOPERATIVE CONSIDERATIONS

Possible Indications

SURGICAL PROCEDURE (VIDEO 35.1)

Special Scenarios

Section VII: Lensectomy and Secondary IOL Placement

Chapter 36: Pars Plana Lensectomy

PREOPERATIVE CONSIDERATIONS

Considerations for Dropped Nucleus/Retained Lens Fragments Following Trauma or Cataract Surgery

Considerations for Subluxed Phakic Lens

SURGICAL PLANNING

SURGICAL PROCEDURE NO. 1: PARS PLANA LENSECTOMY (VIDEO 36.1)

SURGICAL PROCEDURE NO. 2: PARS PLANA LENSECTOMY FOR SUBLUXED CATARACT

Chapter 37: Dislocated IOL

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE (VIDEO 37.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 38: ACIOL and Iris-Fixated IOL

PREOPERATIVE CONSIDERATIONS

ACIOL

Iris-Fixated IOL

SURGICAL PROCEDURE: ACIOL

SURGICAL PROCEDURE: IRIS-FIXATED IOL

Chapter 39: Sutured Scleral Fixated IOL

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE

Chapter 40: Sutureless Scleral Fixation Techniques

PEARLS

SURGICAL PROCEDURE NO. 1: THE “GLUED IOL TECHNIQUE”

SURGICAL PROCEDURE NO. 2: THE “YAMANE TECHNIQUE,” IOL FIXATION WITH FLANGED HAPTICS (VIDEO 40.1)

SURGICAL PROCEDURE NO. 3: THE “BEAUMONT TECHNIQUE,” 27G TRANSCANNULAR SUTURELESS INTRASCLERAL FIXATION

COMPLICATIONS

Section VIII: Diabetic Vitrectomy

Chapter 41: Considerations and Instrumentation for Diabetic Vitrectomy

PREOPERATIVE CONSIDERATIONS

INTRAOPERATIVE CONSIDERATIONS

POSTOPERATIVE CONSIDERATIONS

Chapter 42: Nonclearing Vitreous Hemorrhage

PREOPERATIVE CONSIDERATIONS

B-SCAN PEARLS

MANAGEMENT OPTIONS

SURGICAL PLANNING

SURGICAL PROCEDURE (VIDEO 42.1)

POSTOPERATIVE CONSIDERATIONS

PERFORMING FAX FOR NCVH IN THE VITRECTOMIZED EYE IN CLINIC

Chapter 43: Diabetic TRD

DIFFERENTIATING A TRD FROM A COMBINED TRD/RRD

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE

SPECIAL CONSIDERATIONS FOR COMBINED TRD/RRD

POSTOPERATIVE CONSIDERATIONS

Section IX: Pediatric Vitreoretinal Surgery

Chapter 44: Indications and Unique Surgical Considerations for Pediatric Vitreoretinal Surgery

PREOPERATIVE CONSIDERATIONS

Chapter 45: Retinopathy of Prematurity

PREOPERATIVE CONSIDERATIONS

Indications

SURGICAL PROCEDURE NO. 1: 4A ROP RD (VIDEO 45.1)

SURGICAL PROCEDURE NO. 2: 4B AND 5 ROP RD

POSTOPERATIVE CONSIDERATIONS

Chapter 46: Pediatric RRD

PREOPERATIVE CONSIDERATIONS

CHOICE OF SURGERY

For Pediatric RRD With Retinal Dialysis or Retinal Breaks Without Evidence of Traction

SURGICAL PLANNING

SURGICAL PROCEDURE NO. 1: SCLERAL BUCKLE

SURGICAL PROCEDURE NO. 2: VITRECTOMY (VIDEO 46.1)

POSTOPERATIVE CONSIDERATIONS

Section X: Vitreoretinal Surgery for Tumors and Uveitis

Chapter 47: Diagnostic Vitrectomy

PREOPERATIVE CONSIDERATIONS

SURGICAL PLANNING

SURGICAL PROCEDURE: DIAGNOSTIC VITRECTOMY (VIDEO 47.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 48: Retisert Placement

PREOPERATIVE CONSIDERATIONS

SURGICAL PLANNING

SURGICAL PROCEDURE: PLACEMENT OF THE RETISERT, A SCLERAL-FIXATED INTRAVITREAL IMPLANT (VIDEO 48.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 49: RD Repair in Uveitis

RD REPAIR ASSOCIATED WITH VIRAL OR TOXOPLASMA-RELATED RETINITIS

Preoperative Considerations

Surgical Planning

SURGICAL PROCEDURE: PPV WITH PLACEMENT OF SILICONE OIL

SURGICAL MANAGEMENT OF EXUDATIVE RD

Preoperative Considerations

Surgical Planning

SURGICAL PROCEDURE

Option 1: External Drainage of SRF. See chapter titled External Subretinal Fluid Drainage.

Option 1A: Cutdown Drainage Method

Option 1B: Needle Drainage Method

Option 2: PPV With Internal Drainage of SRF. See chapter titled Posterior SRF During Vitrectomy for RRD.

Chapter 50: Vitrectomy-Assisted Choroidal Biopsy

PREOPERATIVE CONSIDERATIONS

SURGICAL PLANNING

SURGICAL PROCEDURE: VITRECTOMY-ASSISTED CHOROIDAL BIOPSY (VIDEO 50.1)

SPECIMEN RECOVERY

POSTOPERATIVE CONSIDERATIONS

Chapter 51: Transscleral Choroidal Biopsy

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE: TRANSSCLERAL FINE NEEDLE ASPIRATION TUMOR BIOPSY (VIDEO 51.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 52: Chorioretinal Biopsy

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE: CHORIORETINAL BIOPSY

Section XI: Challenging Vitreoretinal Surgical Scenarios

Chapter 53: Giant Retinal Tear

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE (VIDEO 53.1)

Chapter 54: Proliferative Vitreoretinopathy Surgery

MEMBRANE PEELING

RETINECTOMY (VIDEO 54.1)

LENSECTOMY

SB FOR PVR

AVOID SLIPPAGE

AVOIDING RETENTION OF PFCL

Chapter 55: Choroidals

PREOPERATIVE CONSIDERATIONS

Serous Choroidals

Hemorrhagic Choroidals

SURGICAL PLANNING

SURGICAL PROCEDURE: DRAINAGE OF CHOROIDALS (VIDEO 55.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 56: Submacular Hemorrhage

PREOPERATIVE CONSIDERATIONS

Surgical Planning

SURGICAL PROCEDURE: SUBRETINAL DISPLACEMENT OF MASSIVE SUB MACULAR HEMORRHAGE (VIDEO 56.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 57: Subretinal Perfluorocarbon Liquid

PREOPERATIVE CONSIDERATIONS

Surgical Planning

SURGICAL PROCEDURE: REMOVAL OF RETAINED SUBRETINAL PFCL

POSTOPERATIVE CONSIDERATIONS

Chapter 58: Subretinal Silicone Oil

PREOPERATIVE CONSIDERATIONS

Surgical Planning

SURGICAL PROCEDURE: SUBRETINAL SILICONE OIL REMOVAL (VIDEO 58.1)

Subretinal Silicone Oil that does not Escape the Subretinal Space

SUBRETINAL MEMBRANES

Chapter 59: Uveal Effusion Syndrome

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE: SCLERAL WINDOW SURGERY (VIDEO 59.1)

Additional Surgical Considerations

POSTOPERATIVE CONSIDERATIONS

Chapter 60: Endophthalmitis

PREOPERATIVE CONSIDERATIONS

Surgical Planning

SURGICAL PROCEDURE (VIDEO 60.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 61: Intraocular Foreign Body

PREOPERATIVE CONSIDERATIONS

Surgical Timing

Materials and OR Equipment Often Needed

SURGICAL PROCEDURE (VIDEO 61.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 62: Retinal Detachment in Open Globe Injury

PREOPERATIVE CONSIDERATIONS

Surgical Planning

SURGICAL PROCEDURE: REPAIR OF RD IN EYE WITH OPEN GLOBE INJURY

POSTOPERATIVE CONSIDERATIONS

Chapter 63: Macular Hole Retinal Detachment

PREOPERATIVE CONSIDERATIONS

Choice of Surgery

Patient Assessment

Patient Counselling

SURGICAL PROCEDURE: PPV AND INVERTED ILM FLAP (VIDEO 63.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 64: Retinoschisis Retinal Detachment

PREOPERATIVE CONSIDERATIONS

Management Considerations

SURGICAL PROCEDURE (VIDEO 64.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 65: Postop Retinal Fold

PREOPERATIVE CONSIDERATIONS

Risk Factors for Development of a Retinal Fold

Surgery is Indicated for a Postop Retinal Fold if:

SURGICAL PROCEDURE: MANAGEMENT OF POSTOP RETINAL FOLD

Chapter 66: Vitrectomy With the Endoscope

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE

Chapter 67: Optic Pit Maculopathy

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE (VIDEO 67.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 68: Argus II Retinal Prosthesis

PATIENT ELIGIBILITY

PREOPERATIVE CONSIDERATIONS

Special Considerations

SURGICAL PROCEDURE: ARGUS II IMPLANTATION (VIDEO 68.1)

POSTOPERATIVE CONSIDERATIONS

Chapter 69: Physiology of Vitreous Surgery

THE LONG-TERM CLINICAL EFFECTS OF VITRECTOMY

PHYSIOLOGICAL MECHANISMS OF VITREOUS SURGERY

VITRECTOMY AND LASER TREATMENT HAVE SOME OF THE SAME CONSEQUENCES

HOW VITRECTOMY INTERACTS WITH INTRAVITREAL ANTI-VEGF INJECTIONS

RETINAL OXIMETRY AND VITRECTOMY

CONCLUSION

Index

 

An aparitie	26 Oct. 2020
Autor	Sharon Fekrat
Editura	LWW
Format	Paperback
ISBN	9781975117900
Limba	Engleza
Nr pag	250
Versiune digitala	DA