Ulrich Spandau

Practical Handbook for Small-Gauge Vitrectomy

Practical handbook for small-gauge vitrectomy : , Practical handbook for small-gauge vitrectomy : , کتابخانه دیجیتال جندی شاپور اهواز

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.

Traumatic Retinal Detachment Secondary to Open Globe

Trauma presents with a huge variety. Not one traumatic case can be compared with the other. This makes trauma surgery exciting and demanding but makes also recommendations for surgical procedure rather difficult. Generally, a globe injury is divided into an open globe injury and a closed globe injury. Here we will only talk about open globe injuries. For open globe injury, two major traumas are possible: (1) an ocular injury with intraocular foreign body (IOFB) and (2) globe injuries affecting the sclera (scleral injury) or the cornea (corneal injury). Remark: A corneal injury is often called a perforation, and a scleral rupture is also named a globe rupture. (See Fig. 22.1 (Videos 22.1, 22.2, 22.3, 22.4, 22.5 and 22.6).)

Traumatic Retinal Detachment in Children

This chapter is about three aspects of ocular trauma: firstly the surgical management of traumatic retinal detachment in children with episcleral buckling, secondly the surgical management of an open globe rupture, and thirdly the surgical management of intraocular IOFB with delayed vitrectomy.

Vitreoretinal Surgeons Assess Surgical Cases: A Questionnaire

This PVR summary was performed after analysing 30 PVR questionnaires from expert vitreoretinal surgeons. There are many tips and tricks shared by many of them despite they are referred to only one. I want to appreciate their kind collaboration with this chapter.

Pneumatic Retinopexy with BIOM

The surgical technique of pneumatic retinopexy is described in detail. The surgery is performed with a microscope and a BIOM. An indirect ophthalmoscope is not used.

Difficult Proliferative Diabetic Retinopathy

The surgery of a difficult proliferative diabetic retinopathy belongs to the most difficult vitreoretinal surgery possible. The timing is again of utmost importance. We propose a stepwise surgery in order to minimize vascular activity before vitrectomy. The surgery is shown step-by-step with many videos, drawings, and pictures.

Recurrent Retinal Detachment

The main question when examining the retina of a recurrent detachment is: Where is the hole? If a new hole is present, we would operate the eye as a primary detachment. But in many cases, a retinal break cannot be found. In this case a minihole must be searched for. This minihole is often a laser necrosis and located at the edge of a laser scars. In order to localize the hole, you must remember the Lincoff rules and use the following trick: Inject PFCL posterior to the suspected hole and look for Schlieren. Schlieren is subretinal fluid which enters the vitreous cavity through the hole. Search for the hole using a light fiber and scleral depressor.

Vitrectomy for Macular Peeling

The following chapter reports step-by-step the surgical procedure for a membrane peeling and macular hole surgery. In addition, a peeling vitrectomy with a cataract machine is demonstrated.

Dislocated IOL Extraction and Secondary IOL Implantation

The following chapter reports step-by-step the surgical procedure for a dislocated IOL. The surgery for a partially subluxated and a completely luxated IOL is described. In addition, the surgical technique for scleral fixation is demonstrated.