Written by a pioneering leader in the development of vitreoretinal surgical techniques and instruments, this volume is a comprehensive how-to guide to all vitreoretinal procedures. This thoroughly updated Fourth Edition describes many new techniques and refinements of established procedures. More than 160 three-dimensional full-color illustrations--many by the Charles Retina Institute's resident medical artist, Byron Wood--enable surgeons to clearly visualize the techniques. This edition features a brand-new chapter on small diameter (25-gauge) sutureless transconjunctival vitrectomy, and presents state-of-the-art information on anti-VEGF therapy for age-related macular degeneration, diabetic retinopathy, and venous occlusive disease. Other highlights include new information on intravitreal Kenalog and new strategies for managing retinopathy of prematurity.

Table of Contents

1 Presurgical Evaluation and Decision Making 1 2 Surgical Systems and Tools, Anesthesia, and Operating Room Organization 15 3 Vitrectomy Techniques and Technology for Anterior Segment Problems 33 4 General Posterior Segment Techniques 55 5 25-Gauge, Sutureless, Transconjunctival Vitrectomy 85 6 Diabetic Retinopathy 95 7 Prophylaxis of Retinal Breaks and Scleral Buckling 113 8 Vitrectomy for Retinal Detachment 119 9 Proliferative Vitreoretinopathy 127 10 Giant Breaks 139 11 Pneumatic Retinopexy and Office Fluid-Air-Gas Exchange 145 12 Epimacular Membranes 149 13 Macular Holes 157 14 Submacular Surgery and Macular Translocation 163 15 Nonsurgical Treatment of Subfoveal Choroidal Neovascular Membranes 171 16 Intravitreal Corticosteroids 177 17 Venous Occlusive Disease 179 18 Trauma 183 19 Endophthalmitis 193 20 Retinopathy of Prematurity 197 21 Pediatric Traction Retinal Detachments 207 22 Inadvertent Penetration of the Eye 209 23 Management of Suprachoroidal Hemorrhage 211 24 Complications of Vitreoretinal Surgery 215 25 Surgical Self-Education 221 Index 225