THE DUKE MANUAL OF VITREORETINAL SURGERY

• SECTION I: JUST THE BASICS 1
1 The Preoperative Discussion . 3
2 Vitrectomy Systems 6
3 Vitrectomy Machine Settings 12
4 Lenses and Viewing Systems . 22
5 Setting Up for Vitreoretinal Surgery 26
• SECTION II: PARS PLANA VITRECTOMY 29
6 Gauge Selection and Cannula Placement 31
7 Getting and Maintaining Your View . 35
8 Vitrectomy Surgery Steps 39
9 PVD Induction 43
10 Illumination During Vitreous Surgery . 46
11 Endolaser Types and Settings . 50
• SECTION III: VITREORETINAL SURGICAL ADJUNCTS 55
12 Intraoperative Visualization Agents 57
13 Perfluorocarbon Liquid 60
14 Gas Tamponade . 63
15 Silicone Oil Tamponade 68
• SECTION IV: EXCHANGES . 73
Fluid Air Exchange. 75
Air Gas Exchange . 79
Air Silicone Oil Exchange . 81
Perfluorocarbon Liquid Silicone Oil Exchange 85
• SECTION V: RHEGMATOGENOUS RETINAL DETACHMENT . 89
Rhegmatogenous RD vs Exudative RD vs Retinoschisis 91
Retinal Break Localization . 93
Pneumatic Retinopexy . 96
Scleral Buckling Basics . 99
Scleral Buckling Steps 103
Radial Elements .110
External Subretinal Fluid Drainage 113
The Chandelier Buckle 116
Vitrectomy for RRD 119
Posterior SRF During Vitrectomy for RRD .123
Scleral Buckle and Vitrectomy for RRD 126
Postop Positioning 129
• SECTION VI: MACULAR SURGERY . 133
Epiretinal Membrane 135
Macular Hole 139
Advanced Vitrectomy Techniques for Macular Holes .143
Autologous Retinal Transplant .147
• SECTION VII: LENSECTOMY AND SECONDARY IOL PLACEMENT 151
Pars Plana Lensectomy .153
Dislocated IOL 158
38 ACIOL and Iris-Fixated IOL .161
39 Sutured Scleral Fixated IOL .165
40 Sutureless Scleral Fixation Techniques .169
• SECTION VIII: DIABETIC VITRECTOMY 175
41 Considerations and Instrumentation for Diabetic Vitrectomy .177
42 Nonclearing Vitreous Hemorrhage 180
43 Diabetic TRD .183
• SECTION IX: PEDIATRIC VITREORETINAL SURGERY . 189
44 Indications and Unique Surgical Considerations for Pediatric Vitreoretinal Surgery 191
45 Retinopathy of Prematurity 195
46 Pediatric RRD 198
• SECTION X: VITREORETINAL SURGERY FOR TUMORS AND UVEITIS 203
47 Diagnostic Vitrectomy 205
48 Retisert Placement 208
49 RD Repair in Uveitis .211
50 Vitrectomy-Assisted Choroidal Biopsy 216
51 Transscleral Choroidal Biopsy .218
52 Chorioretinal Biopsy .222
• SECTION XI: CHALLENGING VITREORETINAL SURGICAL SCENARIOS 225
53 Giant Retinal Tear 227
54 Proliferative Vitreoretinopathy Surgery .230
55 Choroidals .233
56 Submacular Hemorrhage 236
57 Subretinal Perfluorocarbon Liquid 239
58 Subretinal Silicone Oil 242
59 Uveal Effusion Syndrome . 245 Endophthalmitis 247
Intraocular Foreign Body .251
Retinal Detachment in Open Globe Injury .256
Macular Hole Retinal Detachment .260
Retinoschisis Retinal Detachment .264
Postop Retinal Fold .267
Vitrectomy With the Endoscope .269
Optic Pit Maculopathy 272
Argus II Retinal Prosthesis .275
Physiology of Vitreous Surgery 278
Index 285

Concise, authoritative, and easy to navigate, The Duke Manual of Vitreoretinal Surgery offers a step-by-step, highly illustrated approach to the most commonly performed vitreoretinal operating room procedures. Ideal for vitreoretinal surgeons, ophthalmology residents, retina fellows, and OR nurses and scrub techs, it contains practical guidance from the highly esteemed vitreoretinal surgery fellowship program at Duke University making it an unparalleled “how-to” manual for the wide variety of cases and operative scenarios you may encounter.

• Offers a step-by-step outline for each surgical procedure, from preoperative considerations through postoperative care, including numerous surgical pearls.
• Contains 250 full-color photographs and illustrations that clearly depict techniques and other essential aspects of vitreoretinal surgery.
• Covers surgery basics, gas and oil tamponades, pediatric retinal surgery, and management of challenging vitreoretinal surgical scenarios.
• Provides access, via the eBook, to 50 surgical videos from the Duke archive.

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