Since the development of 23G vitrectomy in 2004, the technique has revolutionized retinal surgery by overcoming a number of the problems associated with 20G and 25G systems and offering significant improvements in surgical capability and fluidics. This important book first discusses the instruments and equipment employed in 23G vitrectomy and then explains, step by step, the various surgical techniques with the aid of informative diagrams and many high-quality photos. In addition, videos are included that document the different procedures, from the straightforward to the demanding. This book will serve as an immensely useful guide for all surgeons who are intending to make use of this exciting and increasingly used technique.

Since the development of 23G vitrectomy in 2004, the technique has revolutionized retinal surgery by overcoming a number of the problems associated with 20G and 25G systems and offering significant improvements in surgical capability and fluidics. This important book first discusses the instruments and equipment employed in 23G vitrectomy and then explains, step by step, the various surgical techniques with the aid of informative diagrams and many high-quality photos. In addition, videos are included that document the different procedures, from the straightforward to the demanding. This book will serve as an immensely useful guide for all surgeons who are intending to make use of this exciting and increasingly used technique.

Since publication of the first edition of this book in 2012 vitreoretinal surgery has marched with huge steps forward. In 2012 23G was standard, today 25G and 27G are the most commonly used gauge sizes for vitrectomy. In 2012 the cutting rate was 5.000 cuts/min and today with the development of a novel vitreous cutter the cutting rate has increased to 16.000 cuts/min. The advent of 25G/27G made the instruments smaller and surgery less traumatic. Practical Handbook for Small-Gauge Vitrectomy: A Step-By-Step Introduction to Surgical Techniques, 2ndEdition focuses on these new developments and features new chapters on PVR detachment, intraocular tumour, macular translocation, sub macular hemorrhages and ocular trauma. The surgeries are demonstrated step-by-step and the material is shown in detail and videos visualize the surgery.This book will serve as an immensely useful guide for all surgeons who are intending to make use of this exciting and increasingly used technique.

This book is exceptional in explaining not only when and how but also why vitrectomy is performed – an additional focus that will help trainee surgeons to develop their own critical thinking. Uniquely, the book’s first part describes “the life of the vitreoretinal surgeon” to help residents decide whether the field is indeed suitable for them, and if yes, how they can chart their own course in the absence of a formal fellowship program. The second and third parts discuss the fundamentals in VR surgery, such as the general philosophy underlying vitrectomy, equipment, examination, timing, anesthesia, the surgeon’s posture, and the organization of the operating room. The final two parts are dedicated to surgical strategy and tissue tactics, reviewing the principles of surgical maneuvers and the practical sides of diagnosis-specific issues. An appendix is also included, which offers additional guideposts for the aspiring trainee surgeon, including a description of how an ideal mentor should act in surgery. The book is written in an easy-to-follow format with bullet points and text boxes, and has well over 250 color images and line drawings as well as over 60 tables.

This clinically oriented book provides a complete overview of retinal detachment and Proliferative vitreoretinopathy (PVR), a difficult surgical challenge faced by ophthalmologists. Small gauge vitrectomy offers new possibilities to tackle this difficult pathology however this surgical approach may differ from one retinal surgeon to the next. To reflect the various approaches to treating PVR, the book is divided up in three parts. In the first part the authors describe the complete variety of surgical techniques applied to retinal detachment. In the second section, the surgical approach for PVR detachment is demonstrated step-by-step. In the third part, a large variety of retinal surgeons from Europe discuss video case reports of PVR retinal detachment to give a complete overview of dealing with this complex retinal disorder. The book is practical, down to earth, the surgeries are explained in detail, illustrated with drawings, photographs and refers to a huge number of videos available via Dr. Spandau’s YouTube channel.

This book presents the most modern and innovative techniques in ocular surgery currently utilized by experts in the field. All aspects of ocular surgery from the front to the back of the eye are covered in this resource, with all surgeries demonstrated as ‘recipes’ with first the ingredients and then the surgical techniques with step-by-step instructions. The surgeries are illustrated with photographs, drawings and videos for practical application, and the step-by-step presentation allows for quick and easy access to the most appropriate techniques in ocular surgery.