Mitrofanis Pavlidis

Vitrectomy of Myopic Eyes

Another excellent indication for 27G is the vitrectomy of a long eye. No suture is required, no postoperative hypotony is present and the gas-filling is outstanding.

Introduction to 27G

The most essential development of small-gauge vitrectomy was the introduction of a trocar which rests inside the sclera. Instruments are much easier introduced, the trocar protects the sclera against injury through the instruments and a trocar is easier to find than a usual sclerotomy. The disadvantage of the trocar compared to the usual sclerotomy is the excessive leakage of fluid through the trocars.

Dislocated IOL: Extraction of IOL and Implantation of Iris-Fixated IOL with 27G

The following chapter reports step by step the surgical procedure for a dislocated IOL. The surgery for a subluxated and a completely luxated IOL is described.

Company Addresses (in Alphabetical Order)

The following chapter lists the name of all important companies developing and producing devices, instruments and material for our OR. I can only recommend to view regularly the websites of these companies to have some overview, e.g. DORC, Geuder and Synergetics.

Materials (in Alphabetical Order)

The following chapter lists all instruments which are important for vitrectomy and especially which are available in 27G. The knowledge of the instruments and the material are of vital importance of a successful surgery. I recommend also to search regularly the websites of the major companies for novel products within small-gauge vitrectomy and 27G.

Case Reports of Penetrating and Blunt Ocular Trauma

The following chapter describes the surgical management of ocular trauma. The following case reports are structured according the ocular anatomy: They begin with the cornea and end with the retina—corneal perforation, traumatic cataract, aniridia operated with artificial iris, traumatic mydriasis operated with iridoplasty, aphakia, traumatic PVR detachment and much more.

Submacular Haemorrhage Secondary to Arterial Macroaneurysm

The following chapter describes the surgical management of a submacular haemorrhage secondary to arterial macroaneurysm. Included is also a case report.

Penetrating Eye Injury by Metal Intraocular Foreign Bodies (IOFB); Delayed, Stepwise Surgery

The following chapter describes the surgical management of a penetrating eye injury by IOFB. Two different surgical approaches are described: the delayed, stepwise surgery and the immediate surgery.

Neovascular Glaucoma Treated Under View of a BIOM

The following chapter describes the surgical management of a neovascular glaucoma with a novel method: The retinal cryopexy is performed with chandelier light illumination under view of a BIOM.

Silicone Oil Removal

The following chapter describes the removal of silicone oil. The removal of light silicone oil is technically and surgically easy, whereas the removal of heavy silicone oil (Densiron 68®) is a bit tricky.