Complications of Vitreo-Retinal Surgery

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Complications of Vitreo-Retinal Surgery eBook Free Download

Complications of Vitreo-Retinal Surgery eBook PDF Free Download

Edited by Noemi Lois and David Wong

Published by Wolters Kluwer LWW

About the Book

This Complications of Vitreo-Retinal Surgery is edited by Noemi Lois and David Wong. The factor that may best distinguish a great surgeon from a good one is the ability to avoid and manage complications. Within the pages of First Edition textbook of Complications of Vitreo-Retinal Surgery, readers will discover the practical information ophthalmic surgeons need to address a wide range of intra- and postoperative complications associated with vitreo-retinal surgery. 


– The text addresses a broad range of complications, occurring in both established and emerging surgical techniques.
– Each potential complication is analyzed in detail, including information on pathogenesis and risk factors.
– Chapters are organized by potential complication, with each addressed by a single contributing author as if he/she is the surgeon on the case.
– While created specifically for vitreo-retinal surgeons, this book will provide useful information for other members of the surgical team as well as for general ophthalmologists, residents, and optometrists who see patients before and after vitreo-retinal procedures.
– Detailed coverage addresses specific complications related to scleral buckling, pneumatic retinopexy, and 20-, 23-, and 25-gauge vitrectomy.
– Expert contributors offer advice on avoidance and management of each complication, and offer guideposts for projected clinical outcomes.
– Bulleted points deliver clinical pearls on the prevention and management of specific complications.
– Real-world clinical scenarios provide practical, stepwise guidance in the management of each issue.

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What You will Learn

The Topics Covered in this Textbook are

Section I

Part A. Complications of Scleral Buckling Procedures Intraoperative Complications
Complications Associated with Suturing the Scleral Buckle

Complications Associated with Drainage of Subretinal Fluid

Complications Associated with the Injection of Air/Gas
Air/Gas Injection under Tenon’s-Conjunctiva
“Fish-Egg” Air/Gas Bubble Formation
Air/Gas Injection behind the Lens
Subretinal Injection of Air/Gas

Complications of “Buckling” the Retinal Break
Cannot Find Retinal Break
Inability to Close the Retinal Break on the Buckle

Scleral Perforation and Penetration Into the Eye

Part B Complications of Scleral Buckling Procedures–Postoperative Complications

Exposure and Infection of the Scleral Buckle

Migration of the Scleral Buckle

Part C Complications of Pneumatic Retinopexy

Missed and New Retinal Breaks

Part D Complications of Pars Plana Vitrectomy–Intraoperative Complications

Complications Related to the Setting up, Maintaining and Closing off the Ports
Subconjunctival Hemorrhage, Marked Chemosis
Difficulties related to the Location/Size of Sclerotomies
“Losing” the Tunnels during Trocar Insertion in Small-Bore Vitrectomy
Suprachoroidal and Subretinal Infusion
Accidental Intraoperative Removal of the Infusion Port
Vitreo-Retinal Incarceration at the Sclerotomy site
Leaking Ports at the End of Surgery
Difficulties Suturing and Closing the Sclerostomies

Complications Related to the Crystalline Lens
Development of Cataract Intraoperatively (Not Related to Lens Touch)
Lens Touch with or without Capsular Breach
Crystalline Lens Subluxation and Luxation

Complications during Phaco-Vitroectomy
Continuous Flattening of the Anterior Chamber
Posterior Capsule Rupture (Can I Insert a Lens? Can I Preserve the Capsular Bag?) and Zonulodyalisis

Complications Related to the Induction of a Posterior Vitreous Detachment
I Cannot Detach the Vitreous in an Eye with an Attached Retina
I Cannot Detach the Vitreous in an Eye with a Detached Retina
Detaching the Vitreous in the Presence of Neovascularization
Detaching the Vitreous in “Friable” Retina

Complications Related to the Intraoperative Use of Tamponade Agents
Small Bubble Formation When Inserting Perfluorocarbon Liquid
Intraoperative Displacement of Tamponade Agents
Difficulties removing tamponade agents after short and long-term tamponade.

Subretinal Displacement of Dyes

Iatrogenic Retinal Breaks
Retinal Breaks Due to Vitreous Traction (Indirect Trauma)
Retinal Breaks Due to Direct Retinal Trauma

The “Missing” Retinal Break

Retinal Slippage

Complications in Relation to the Vitreoretinal Surgical Systems Used

Part E Complications of Pars Plana Vitrectomy–Postoperative Complications

Complications Related to the Tamponade Agent

Anterior Displacement of the Tamponade Agent (Subconjuctivally and to the Anterior and Posterior Chambers)
Glaucoma following Vitreoretinal Surgery
Subfoveal Displacement of the Tamponade Agent
Silicone-Oil Associated Visual Acuity Loss
Emulsification of Tamponade Agents
Retinal Re-detachment following Removal of the Tamponade Agent

Complications following Phaco-Vitrectomy
Posterior Capsule Opacificaiton following Phaco-Vitrectomy
Intraocular Lens Decentration/Luxation/Sublixation
Refractive Outcome and Possible Errors following Combined Phaco-Vitrectomy
Lack of Capsular Support

Macular Folds

Visual Field Loss


Part F Complications common to scleral buckling, pneumatic retinopexy and pars plana vitrectomy–Intraoperative Complications

Problems Initiating Surgery
Working in Small and Deep Set Eyes
Managing Scarred and Adherent Conjunctiva
Difficulties Isolating Extraocular Muscles

Poor View of the Fundus
Lack of Corneal Transparency
Inadequate Size of the Pupil
Problems Related to the Lens Capsule
Difficult View Due to the Presence of Tamponade Agents
Intraocular Lens “Steaming” during Pars Plana Vitrectomy

Intraocular Bleeding
Subretinal Hemorrhage Complicating Retinal Detachment Surgery
Bleeding during Pars Plana Vitrectomy
Intraoperative Suprachoroidal Hemorrhage

Part G. Complications Common to Scleral Buckling, Pneumatic Retinopexy and Pars Plana Vitrectomy–Postoperative Complications

Refractive Changes Associated with Vitreo-Retinal Surgery

Diplopia and Strabismus

Serous Choroidal Detachment

Postoperative Suprachoroidal Hemorrhage

Epimacular Membrane

Postoperative Macular Edema

Postoperative Macular Hole Formation

Persistent Localized Subretinal Fluid

Retinal Re-detachment
Due to Missed Breaks
Due to New Breaks
Due to Proliferative Vitreoretinopathy

Endophthalmitis in the Micro-Incision Surgery (MIVS) Era

Sympathetic Ophthalmia

Section II


For Whom is this Book For

This Complications of Vitreo-Retinal Surgery is perfect for Ophthalmologists, Surgeons, Residents and Practicing Physicians. It is the must have reference for practitioners and residents! It acts as Reference Material for those MBBS students who are pursuing their Post-Graduation in Ophthalmology. It includes topics pretty useful for Other Health Care Professionals including Clinical Pharmacists, Nurses and Professors.


Format of the eBook: PDF      Size: 34 MB


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