All surgery requires a strategy, game plan, or algorithm before being undertaken. The complexity of high-technology vitreoretinal surgery requires extensive preoperative planning. The surgical algorithm must include an expected series…
Although developed for posterior vitreoretinal surgery, the vitrectomy instrument has widespread application to anterior segment surgery (1–8). Every anterior segment microsurgeon must have vitrectomy techniques and equipment at his or…
Sutureless, transconjunctival 25-gauge vitrectomy was introduced by DeJuan and colleagues (1,2) and has rapidly become an accepted tool in the vitreoretinal surgery armamentarium. Sutureless vitrectomy is dependent on two concepts:…
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 (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…
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…
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…
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…
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…
