Ulrich Spandau, Mitrofanis Pavlidis's 27-Gauge Vitrectomy: Minimal Sclerotomies for Maximal PDF

By Ulrich Spandau, Mitrofanis Pavlidis

This ebook offers step by step directions on easy methods to function with 27G instrumentation in a variety of surgical symptoms, together with vitreous floaters, macular holes, dropped nucleus, retinal detachment, diabetic retinopathy, submacular hemorrhage, retinopathy of prematurity and lots more and plenty trauma. All surgical procedures are approached in cookbook style, with preliminary insurance of the “ingredients” (devices and tools) after which meticulous description of training and function with helping images, drawings and video clips. moreover, the variations and merits compared to 23G and 25G vitrectomy are highlighted.

Small-gauge vitrectomy has noticeably replaced the ways that vitrectomy is played. 27G vitrectomy is the newest and most fun improvement in small-gauge vitrectomy. The therapeutic time is quicker however the small diameter prolongs the length of surgical procedure. This drawback has been triumph over with strong new vitrectomy machines and progressive vitreous cutters with slicing blades making 27G vitrectomy as quickly as 25G. This new apparatus has accelerated the indicators for 27G surgical procedures immensely from detachment surgical procedure to retinopathy of prematurity and the arrival of recent tools could make 27G the premier sooner or later. This booklet, written via authors with large event in 27G vitrectomy, will allow surgeons to completely take advantage of its advantages.

Show description

Read or Download 27-Gauge Vitrectomy: Minimal Sclerotomies for Maximal Results PDF

Best ophthalmology books

Get Vitreo-retinal Surgery (Essentials in Ophthalmology) PDF

Development in vitreo-retinal surgical procedure is mercurial. considering this sequence is devoted to new advancements the reader is gifted with a motley checklist of issues. The developments defined the following could signify often accredited growth within the box: New tools, Macular gap surgical procedure, Tumor biopsy. The textual content is well-structured textual content and the ebook bridges the space among fundamental literature and day-by-day perform.

Download PDF by John C. Morrison, Irvin P. Pollack: Glaucoma: Science and Practice

Quick advances in making a choice on the epidemiology, body structure, and genetics of glaucoma have ended in dramatic advancements in diagnostic and healing options. This new textual content provides you with concise assurance of each significant scientific leap forward, in addition to the elemental technological know-how had to completely comprehend all manifestations of the affliction.

Extra resources for 27-Gauge Vitrectomy: Minimal Sclerotomies for Maximal Results

Example text

38) The fragmatome can be used to emulsify a dropped nucleus in the vitreous cavity. It is available in 23G but is used without a trocar cannula. A fragmatome is difficult to use. On the one hand, it is less powerful than a normal phaco handpiece. On the other hand, it can exert high levels of suction in the posterior segment. Aspiration of the vitreous or the retina into the handpiece must be avoided. Lens fragments tend to jump away from the needle tip. In such cases, one must aspirate the fragments in the needle tip before emulsification.

If a fluid or gas is injected into the eye, the intraocular pressure increases. This problem can be avoided by the use of a special infusion cannula, which simultaneously injects and removes fluid (double-barrelled cannula). 3 Trocar Forceps (Figs. 15) Indication: For manipulation of trocars. A very useful forceps for any kind of manipulation of trocars. 4 Scleral Marker (Figs. 5 mm for pseudophakic and 4 mm for phakic eyes. Many manufacturers incorporate a marker in the handle of the trocar inserter.

12 After removal of the trocars. The sclerotomies are watertight, require no suture and no hypotony is present the day after. This is an excellent feature for long eyes and pediatric eyes 5. Retinal detachment: Tight globe, less leakage resulting in better tamponade 6. Lens exchange: Less hypotony compared with 23G 27G Is Less Useful for the Following Pathologies These indications have a low risk of postoperative hypotony. There is not really a difference between 23G and 25G regarding this important feature.

Download PDF sample

Rated 4.56 of 5 – based on 37 votes