- •Practical Handbook for Small-Gauge Vitrectomy
- •Foreword 1 (German Edition)
- •Foreword 2
- •Preface
- •Acknowledgements
- •Abbreviations
- •Contents
- •1.1 History
- •1.2.1 Sutureless Sclerotomy
- •1.2.2 Trocar
- •1.2.3 Bimanual Surgery
- •2: Equipment
- •2.1 Devices
- •2.1.1 Operating Microscope
- •2.1.2 Binocular Indirect Ophthalmo Microscope (BIOM System)
- •2.1.3 Vitrectomy Machine
- •2.1.4 Laser Device
- •2.1.5 Cryo Console
- •2.1.6 Light Source
- •2.2 Standard Instruments for Pars Plana Vitrectomy
- •2.2.1 Instruments for Macular Surgery
- •2.2.2 Instruments for Peeling for Diabetic Retinopathy and Traction Retinal Detachment with PVR
- •2.3 What Instruments Are Needed for Different Interventions?
- •2.4 Gases and Liquids
- •2.4.1 Perfluorocarbon
- •Pits & Pearls No. 1
- •Pits & Pearls No. 2
- •2.4.3 Expanding Gases
- •Pits & Pearls No. 3
- •2.4.4 Light Silicone Oils
- •Pits & Pearls No. 4
- •2.5 Dyes for Vitreous and Membranes
- •2.5.1 Staining of the Vitreous
- •Pits & Pearls No. 5
- •2.5.2 Staining of Epiretinal Membranes
- •2.5.3 Staining of the Inner Limiting Membrane (ILM)
- •3.1 General Considerations
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •3.2 Patient Selection
- •3.3 Recommended Learning Steps for Beginners
- •3.4 Complicated Surgeries for Advanced Surgeons
- •3.5 Anaesthesia
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls No. 6
- •3.6 Combined Surgery: Phaco/IOL and Pars Plana Vitrectomy
- •Pits & Pearls
- •3.7 3-Port or 4-Port Vitrectomy
- •Pits & Pearls
- •4.1 Topography in Vitrectomy
- •4.2 Pars Plana Vitrectomy Step by Step
- •Pits & Pearls No. 7
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls No. 8
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls No. 9
- •Pits & Pearls No. 10
- •Pits & Pearls No. 11
- •Pits & Pearls No. 12
- •Pits & Pearls No. 13
- •Pits & Pearls No. 14
- •Pits & Pearls No. 15
- •Pits & Pearls No. 16
- •Pits & Pearls No. 17
- •Pits & Pearls No 18
- •Pits & Pearls No. 19
- •Pits & Pearls
- •Pits & Pearls No. 20
- •Pits & Pearls No. 21
- •Pits & Pearls No. 22
- •Pits & Pearls No. 23
- •Pits & Pearls No. 24
- •Pits & Pearls No. 25
- •Pits & Pearls No. 26
- •Pits & Pearls
- •Pits & Pearls No. 27
- •Pits & Pearls No. 28
- •Pits & Pearls No. 29
- •Pits & Pearls No. 30
- •Pits & Pearls No. 31
- •Pits & Pearls No. 32
- •References
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls No. 33
- •Pits & Pearls No. 34
- •Pits & Pearls No. 35
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls No. 36
- •Pits & Pearls No. 37
- •Pits & Pearls
- •5.2 Vitreous Haemorrhage
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls No. 38
- •Pits & Pearls No. 39
- •5.3 Epiretinal Membranes and Macular Holes
- •Pits & Pearls
- •Pits & Pearls No. 40
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls No. 41
- •Pits & Pearls No. 42
- •Pits & Pearls
- •5.4 25-Gauge Macular Peeling
- •Reference
- •6.1 Insertion of Chandelier Light
- •Pits & Pearls No. 43
- •7: Diabetic Retinopathy
- •7.1 Easy Proliferative Diabetic Retinopathy
- •Pits & Pearls
- •Pits & Pearls
- •7.2 Complicated Proliferative Diabetic Retinopathy (PDVR)
- •Pits & Pearls No. 44
- •Pits & Pearls No. 45
- •Pits & Pearls No. 46
- •8.1 Dislocation of the IOL with Capsular Bag due to Zonulolysis
- •8.2 Dropped Nucleus
- •Pits & Pearls No. 47
- •9: Endophthalmitis
- •Pits & Pearls No. 48
- •Pits & Pearls
- •Pits & Pearls
- •Reference
- •10: Retinal Detachment
- •10.1 Detachment Surgery
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls No. 49
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls No. 50
- •Pits & Pearls
- •Pits & Pearls No. 51
- •Pits & Pearls
- •Pits & Pearls No. 52
- •Pits & Pearls No. 53
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearl No. 54
- •Pits & Pearls
- •Pits & Pearls
- •Pits & Pearls No. 55
- •Pits & Pearls No. 56
- •10.2 Retinal Detachment Complicated by Proliferative Vitreoretinopathy (PVR)
- •Pits & Pearls No. 57
- •Pits & Pearls No. 58
- •Pits & Pearls
- •Pits & Pearls No. 59
- •Pits & Pearls
- •Pits & Pearls No. 60
- •References
- •11: Trauma
- •11.1 Penetrating Eye Injury by Metal Intraocular Foreign Bodies (IOFB)
- •11.2 Suprachoroidal Haemorrhage
- •Pits & Pearls
- •12: Surgical Pearls
- •Subject Index
- •Appendix
- •A.1 Materials
- •A.2 Company Addresses
- •A.3 Instrument Set for PPV (combined and not combined)
- •A.4 List of Important Pits & Pearls (P & P)
Subject Index
A
Air, 23–25
bubbles, behind IOL, 157 exchange, 87
filling, 25 tamponade, 59
Anaesthesia, 36–37 Ando iridectomy, 142 Anterior chamber
haemorrhage, 152 maintainer, 167 silicone oil, 128, 142
Anterior vitrectomy, 56–57 Antibiosis, 125
B
Balanced salt solution (BSS), 21 Bimanual vitrectomy
4-port bimanual vitrectomy, 97–101
Binocular Indirect Ophthalmo Microscope (BIOM), 7–8, 25
BIOM. See Binocular Indirect Ophthalmo Microscope
BIOM, focus, 35, 50 Bleeding, intraoperative, 110 Break
flap, removal, 138 iatrogenic, 58
laser coagulation, 58, 133 mark, 135
peripheral, 41 Brilliant Peel®, 31, 177
BSS. See Balanced salt solution Bupivakain, 36
C
Cannula, double barreled, 23 Capsular tension ring, 134 Ceftazidime, 126
C2F6, 26
C3F8, 26
Chandelier light, 9, 97–101 Choroidal haemorraghe, expulsive,
77, 163 sclerotomy, 168 Conjunctival suture, 151
Core vitrectomy, 52 Crocodile forceps, 21
CRVO = neurotomy knife, 17, 84, 154 Cryotherapy
ciliary body, 9, 59 device, 9
D
Densiron 68®, 28–30 Diabetic retinopathy membranes, 108 delamination, 108
laser photocoagulation, 103 tractions, 18–20, 108 VEGF-inhibitors, 109
Diamond dusted membrane scraper, Tano, 17 Dislocated IOL, 113
Dropped nucleus, 113
E
Eckardt, C., 1 forceps, 17
23 gauge vitrectomy, 1
U. Spandau, H. Heimann, Practical Handbook for Small-Gauge Vitrectomy, |
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DOI 10.1007/978-3-642-23294-7, © Springer-Verlag Berlin Heidelberg 2012 |
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Subject Index |
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Encircling band, 151–152 Endodiathermy handpiece, 16 Endolaser, 16
coagulation, panretinal, 105, 110 Endophthalmitis, 125–129 Endotamponade, 21, 49, 92, 105
indication, 59
F
Fibrin, anterior chamber, 127 Fish eggs (PFCL), 60
Fluid needle, 14, 95 Focussing, BIOM, 8, 52 Forceps
crocodile, 18 Eckardt, 17
Foreign body extraction, 164 Fragmatome, 13, 119
G
Gas, 23–30 dilution, 149
expanding, 25–27 injection, 27
location, vitreous cavity, 21 phase, 21
properties, table, 26 tamponade, 22
Giant tear detachment, 29, 148
H
Haemorrhage, intraoperative, 110
I
ICG. See Indocyanine green ILM. See Internal limiting
membrane ILM–rhexis, 91 Indocyanine green (ICG), 31 Infusion cannula
insertion, 46, 95 removal, 62
Internal limiting membrane (ILM) peeling, 17, 88
staining, 30, 31, 87 Intraocular lens
air bubbles, 157 dislocation, 113–117 implantation, 48, 123, 133
Inverter, 7, 50
IOL, dislocated, 113 Iridectomy
Ando, 143
Oxane, 159
Ischaemic syndrome, anterior, 152
K
Knife
CRVO/neurotomy, 17, 153 sclerotomy, 45
Knob spatula, 19
L
Laser coagulation, 105 Laser probe, 16 Leakage, 44
Learning steps, 35 Lens luxation, 120 Light fiber
combined light and laser hand piece, 16
combined with vitreous cutter, 12 Light source, 9, 13, 40
Liquids
properties, table, 26 tamponade, 21 trapped fluid, 139
Lubrication, cornea, 51
M
Macular hole peeling, 88 staining, 31, 87 surgery, 85
Macular protection, 113 Membrane Blue®, 30 MembraneBlue Dual®, 31 Membrane, epiretinal
peeling, 35, 40 staining, 31, 84, 85 surgery, 55–56
Membrane, fibrovascular dissection, 108
Membrane, PVR delamination, 152 peeling, 152–153 staining, 152
Mepivakain, 36
Metallic foreign bodies, 163
Subject Index |
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Microscope, 7
Monoblue®, 30
Monomanual three-port vitrectomy, 40
N
Neurotomy knife, see CRVO knife, 17, 91 Nucleus, dropped, 113
O
Ophthalmo microscope, binocular indirect. See Binocular Indirect Ophthalmo Microscope
Oxane Hd®, 22, 29, 76
P
Panretinal laser coagulation, 103 Pars plana anatomy, 47
Pars plana vitrectomy (PPV), 35, 82
Patient selection, 35 Peeling
ILM, 87
membrane, epiretinal, 88 membrane, PVR, 152
Perfluorocarbon (PFCL), 22 bubbles, 114
exchange, 141, 142–147, 159 injection of, 23, 137–139 suction, 146
Perfluoroethane (C2F6), 26
Perfluoropropane (C3F8), 26 Peribulbar anaesthesia, 36 PFCL. See Perfluorocarbon Phacoemulsification, 120, 133 Phase, 21
Posterior synechiae, 52 Posture, postoperative, 149 PPV. See Pars plana vitrectomy
Proliferative vitreoretinopathy (PVR) detachment, 150
membrane, removal, 153
PVR. See Proliferative vitreoretinopathy
R
Retina bleeding, 89
Retinal detachment surgery, 131 Retinectomy, 156–157
scissors, 19, 20 Retinopathy, diabetic, 83, 103
laser photocoagulation, 97 tractions, 35, 107
VEGF inhibitors, 109
S
Sandwich tamponade, 146 Scissors
horizontal vitreous, 18 retinectomy, 19, 20 vertical vitreous, 19, 20
Scleral depressor, 14–15 Scleral suture, 165, 166 Sclerotomy
knife, 45 leakage, 68 marker, 12, 43
suprachoroidal haemorrhage, 165–167 suture, 67, 84
Shaving, 141 Silicone oil, 27
Ando iridectomy, 142 anterior chamber, 128, 143 injection, 66
removal, 73 tamponade, 62–63, 84
Silicone tip, fluid needle, 14 Slippage, 148
Staining
epiretinal membrane, 85 internal limiting membrane, 87 membrane, PVR, 153 vitreous, 30, 53, 54
Sulfur hexafluoride (SF6), 26 Suprachoroidal haemorraghe, 165–167 Surgery, combined, 37–38
Synechiae, posterior, 152
T
Tamponade air, 60, 62 amount, 26
gas, 22, 61–62 indication, 26 liquid, 21 macular hole, 85 posture, 149 sandwich, 146 silicone oil, 62–63
Tano diamond dusted membrane scraper, 17
Tears, peripheral, 59, 78
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Subject Index |
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Trapped fluid, 138 Triamcinolone, 30, 54, 135 Trocar
infusion, 47, 65
insertion, 42–48, 95, 169–170 4-port, bimanual, 40, 97, 104, 118 3-port, monomanual, 71
removal, 73, 78, 85, 93, 160 valve, 3–4, 61
Trypan blue, 86
V
Vancomycin, 126 VEGF inhibitors, 109 Vitrectomy, 30, 33
anterior, 56–57 core, 52–53
23-gauge, advantages disadvantages, 5
23-gauge, a history, 1 high-speed, 5
pars plana, 33, 42 4-port, bimanual, 39, 97 3-port, monomanual, 40
Vitreous
base, vitrectomy, 141 haemorrhage, surgery, 80 rhexis, peripheral, 107–108
Vitreous cutter, light pipe, 10 Vitreous detachment, posterior
induction, 42, 53
staining, triamcinolone, 53
Z
Zonular lysis, 143
