Complications of Vitreo-Retinal Surgery by Noemi Lois MD PhD FRCS(Ed), David Wong MD

By Noemi Lois MD PhD FRCS(Ed), David Wong MD

In the ever-changing box of vitreo-retinal surgical procedure, the issue that could most sensible distinguish a very good health practitioner from an excellent one is the facility to prevent and deal with problems. in the pages of Complications of Vitreo-Retinal Surgery, readers will notice the sensible details ophthalmic surgeons have to tackle quite a lot of intra- and postoperative issues linked to vitreo-retinal surgical procedure. The textual content addresses a wide diversity of issues, happening in either tested and rising surgical techniques.

Each capability trouble is analyzed intimately, together with details on pathogenesis and hazard elements. Chapters are prepared by means of capability worry, with each one addressed via a unmarried contributing writer as though he/she is the general practitioner at the case. whereas created particularly for vitreo-retinal surgeons, this booklet will supply invaluable details for different individuals of the surgical workforce in addition to for normal ophthalmologists, citizens, and optometrists who see sufferers prior to and after vitreo-retinal procedures.

 This convenient reference delivers…
• precise coverage addresses particular problems relating to scleral buckling, pneumatic retinopexy, and 20-, 23-, and 25-gauge vitrectomy
• specialist contributors supply suggestion on avoidance and administration of every difficulty, and provide guideposts for projected medical outcomes.
• Bulleted points bring medical pearls at the prevention and administration of particular complications.
• Real-world scientific scenarios supply useful, stepwise assistance within the administration of every issue. 

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1986;93:1198–1208. 10. Vatne HO, Syrdalen P. Retinal detachment after intraocular lens implantation. Acta Ophthalmol (Copenh). 1986;64:544–546. 11. McHugh D, Wong D, Chignell A, et al. Pseudophakic retinal detachment. Graefes Arch Clin Exp Ophthalmol. 1991;229:521–525. 12. Bradford JD, Wilkinson CP, Fransen SR. Pseudophakic retinal detachments. The relationships between retinal tears and the times following cataract surgery at which they occur. Retina. 1989;9:181–186. 13. Lincoff H, Gieser R. Finding the retinal hole.

5 The needle is then withdrawn as the globe is simultaneously indented with the tip of a finger. Pressure is maintained to avoid/ limit bleeding from the choroidal circulation and facilitate subretinal fluid drainage through the small sclerotomy. After ∼2 minutes, the pressure is gradually reduced and the drainage site is explored internally using the indirect ophthalmoscope. If any signs of bleeding are detected, pressure should be applied again. It is unclear which of the above techniques for subretinal fluid drainage is better.

In such instances transverse traction between the two perpendicular indentation “peaks” may prevent an edge of the break from properly settling into the crevice. ◆◆ Another circumstance to be alert to avoid is when the retinal break falls on the down slope of a buckle, especially when this occurs inferiorly. Probably the same factors of transverse traction sufficient to prevent settlement and to prevent formation of a water-tight seal are the factors. This is notorious in cases of proliferative vitreoretinopathy (PVR).

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