Download Practical Handbook for Small-Gauge Vitrectomy: A by Ulrich Spandau, Heinrich Heimann PDF

By Ulrich Spandau, Heinrich Heimann

Since the improvement of 23G vitrectomy in 2004, the process has revolutionized retinal surgical procedure by way of overcoming some of the difficulties linked to 20G and 25G platforms and delivering major advancements in surgical power and fluidics. this crucial ebook first discusses the tools and kit hired in 23G vitrectomy after which explains, step-by-step, a few of the surgical concepts simply by informative diagrams and plenty of high quality photographs. furthermore, movies are incorporated that record different strategies, from the simple to the tough. This ebook will function an immensely beneficial advisor for all surgeons who're desiring to utilize this intriguing and more and more used technique.

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Additional info for Practical Handbook for Small-Gauge Vitrectomy: A Step-By-Step Introduction to Surgical Techniques

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The best position for the chandelier light is inferonasally because only in this position it does not interfere with the rotation of the globe. In phakic eyes, we recommend that you move your working ports closer to the 3 and 9 o’clock positions. This way, you have a better angle to trim the vitreous base at 12 and 6 o’clock with a lower risk for lens touch. 1 Diagram of position of working ports, infusion line and chandelier light of a right eye. The corresponding picture is Fig.

Dislocated IOL (sclerafixation of IOL) 6. 4 Complicated Surgeries for Advanced Surgeons The following surgeries are hard nuts, which can be cracked with a little training. All surgeries demand a thorough and correct preoperative assessment. Draw up a plan on how you wish to proceed intraoperatively. An advanced proliferative diabetic retinopathy with tractional detachment can be very difficult to handle. A PVR detachment is technically challenging and demanding. Last but not least, the subchoroidal haemorrhage is an especially difficult surgery.

0 mm for phakic eyes (Fig. 5). , Alcon) incorporate a marker in the handle of the trocar blade, thereby avoiding the need for changing instruments at the beginning of the surgery. High-speed vitreous cutter High-speed vitreous cutters have a cut-rate of 2,500 cuts/min (Fig. 6). The new vitreous cutters from Alcon (Constellation) have a cut rate of 5,000 cuts/min. A 23-gauge (high-speed) vitrector cuts the vitreous body almost as fast as a normal 20-gauge cutter. High-speed cutters exert less strain on the retina and are therefore less traumatic.

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