Diabetic Retinopathy
Figure 19.1 The Staurenghi 230 slo lens permits angiography of preequatorial neovascularization. Optical coherence tomography has not only allowed more precise diagnosis of diabetic macular edema but also permitted detailed…
Proliferative Vitreoretinopathy
Proliferative vitreoretinopathy (PVR) can be thought of as a reparative or scarring mechanism. Contact inhibition is lost because of mechanical disruption of a tissue such as the retinal pigment epithelium…
Surgical Systems, Tools, and Operating Room
High-technology vitreous surgery requires intensive and continuous attention to the equipment and operating environment. Equipment, supplies, training, staffing, maintenance, and storage of the equipment are ultimately the surgeon’s responsibility. The…
Presurgical Evaluation
Vitreous surgery has been applied successfully to a wide spectrum of ocular diseases. The complex set of biologic, systemic risk, technique, and technology considerations confronting the surgeon creates a difficult…
Vitrectomy for Retinal Detachment
Figure 14.1 Bipolar diathermy is used to mark the site prior to making drainage retinotomy to facilitate finding the site after retina reattached by internal drainage of SRF and fluid-air…
Treatment of Choroidal Neovascular Membranes
The management of choroidal neovascular (CNV) membranes in age-related macular degeneration (AMD), ocular histoplasmosis syndrome, myopia, and uveitis has advanced greatly in the past few years. In general terms, there…
Pediatric Traction Retinal Detachments
RETINAL DETACHMENTS Diverse disease processes may create traction retinal detachments in the pediatric age group. Special approaches are required to manage these difficult problems. These young patients have many years…
Constellation Architecture
The Constellation is the culmination of over three decades of evolutionary development of vitreous cutters and fluidics, new and improved tools, illumination sources, phaco technology, systems integration, efficiency systems, and…
Giant Breaks
Giant retinal breaks are traditionally defined as breaks extending for greater than 90 degrees. Because of the propensity of the retina to fold over, surgical management of these detachments was…
