Download PDF by Noemi Lois MD PhD FRCS(Ed), David Wong MD: Complications of Vitreo-Retinal Surgery

By Noemi Lois MD PhD FRCS(Ed), David Wong MD

In the ever-changing box of vitreo-retinal surgical procedure, the issue that can most sensible distinguish a very good medical professional from a very good one is the facility to prevent and deal with problems. in the pages of Complications of Vitreo-Retinal Surgery, readers will notice the sensible details ophthalmic surgeons have to handle quite a lot of intra- and postoperative problems linked to vitreo-retinal surgical procedure. The textual content addresses a wide variety of issues, happening in either verified and rising surgical techniques.

Each power hardship is analyzed intimately, together with info on pathogenesis and possibility components. Chapters are prepared by means of strength worry, with every one addressed by means of a unmarried contributing writer as though he/she is the health professional at the case. whereas created particularly for vitreo-retinal surgeons, this e-book will supply necessary info for different participants of the surgical workforce in addition to for common ophthalmologists, citizens, and optometrists who see sufferers earlier than and after vitreo-retinal procedures.

 This convenient reference delivers…
• special coverage addresses particular problems on the topic of scleral buckling, pneumatic retinopexy, and 20-, 23-, and 25-gauge vitrectomy
• professional contributors provide recommendation on avoidance and administration of every difficulty, and supply guideposts for projected medical outcomes.
• Bulleted points bring medical pearls at the prevention and administration of particular complications.
• Real-world medical scenarios supply functional, stepwise suggestions within the administration of every issue. 

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1966;62:813–819. 13. Piper JG, Han DP, Abrams GW, et al. Perioperative choroidal hemorrhage at pars plana vitrectomy. A case-control study. Ophthalmology. 1993;100:699–704. 14. Sharma T, Virdi DS, Parikh S, et al. A case-control study of suprachoroidal hemorrhage during pars plana vitrectomy. Ophthalmic Surg Lasers. 1997;28:640–644. 15. Wilkinson CP, Rice TA. Michels Retinal Detachment. 2nd ed. St. Louis, MO: Mosby; 1997:988–990. 16. Chechelnitsky M, Mannis MJ, Chu TG. Scleromalacia after retinal detachment surgery.

Pars plana vitrectomy without scleral buckle for pseudophakic retinal detachments. Ophthalmology. 1999;106:1811–1815. 25. Oshima Y, Emi K, Motokura M, et al. Survey of surgical indications and results of primary pars plana vitrectomy for rhegmatogenous retinal detachments. Jpn J Ophthalmol. 1999;43:120–126. 26. Heimann H, Hellmich M, Bornfeld N, et al. Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment (SPR Study): Design issues and implications. 1. Graefes Arch Clin Exp Ophthalmol.

9–12 Breaks associated with aphakic and pseudophakic retinal detachments are notoriously smaller and more commonly accompanied by some degree of media opacities. Pearls on How to Prevent It ◆◆ The first step in seeking an elusive retinal break is to maximize the opportunity to visualize it by minimizing impediments. These may include debridement of edematous, opaque corneal epithelium, washing out a hyphema, attempting further pupillary dilation, performing Neodymium Yttrium Aluminum Garnet (YAG) capsulotomy to remove opacities at the level of the pupil or pseudophakos, using higher magnification examining lenses or indirect ophthalmoscopic lenses with smaller entrance pupil requirements, or allowing a circulating ­vitreous opacity opportunity to sediment to resolve.

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