Manual of Retinal Surgery 2nd Edition

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Second Edition

I

Manual

o f

•

etlnaur

e.

Andrew ] ..Packer

Contents

Contributing Authors Foreword by ThomasM. Aaberg, Sr. Pref ace

vii

IX

Xl

1.Anatomyand GeneralConsiderations

Andr ew

1.

Packer

2.Preoperative Evaluation of the RetinalDetachmentPatient

St anley Chang

3.Preoperative OphthalmicEchography and Electrophysiology

Roher! E .Leonard If and Dwain

G.

F uller

5

11

4.LaserPhotocoagulationandCryopexy of RetinalBreak s

David W .Parke If

23

5.Pneumatic Retinopexy

PaulE . Tornambe

33

6. Anesthesia f or VitreoretinalSurgery

W. SandersonGri zzard

43

7.ScleralBuck ling Surgery (Cryopexy and Explants)

Andrew

1.

Pack er

55

8.PosteriorSegmentVitrectorny

Gary W .Abr amsand Jane

C.

W erner

9.Macular Hole Surgery

Lawrence

S.

Mor se,Rahat T .Wend el ,and Peter T .Yip

10.Complicationsand PostoperativeManagement

Mar k

S.

Blumenkr an:

69

105

119

Index

131

v

Preface

The purpose of this manual istoprovidethereaderwithastraightforward.practical guidetoretinalsurgery.Itis notdesignedto provide a completecompendiumonthe topic butratheran up-to-date,reasonableapproach. Thissecondeditionprovides cur- rent indications aswell astechnical updates forthesurgicalproceduresandincludes a newchapteron macularholesurgery.Many of thepersonalpref erencespresentedin thismanualareintendedto serveassuggestions forthesurgeonwhois looking to developormodifyhis approach toretinal detachment surgery.The reader must keep inmindthattherearemany validalternativetechniquesthat are not covered.The suggested readings at theconclusion of each chapter will enablereadersto cover selected areas ingreater depth andwillalso acquaintthem withvalidalternativetech- niques.It ishopedthatresidentsandbeginningvitrecretinal fellowswillusethis manual asastarting point tohelpformulatetheir approachtoretinal detachment surgery, andthatpracticing ophthalmologistswillfindsome usefulclinical "pearls" thatwillassistthemin modif yingtheirownindividualapproach. Iwould liketoack nowledge andthank LaurelC.Lhowe andJerry Sewell,who createdthe wonderfulillustrations f or thisedition.

And r ew

1.

Packer ,M D.

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