Vitreous Microsurgery Fifth Edition

Book Preface

In keeping with the approach taken with previous editions, the fi fth edition is designed as a technology book rather than an academic analysis of the literature, a statistical review of outcomes, or a series of clinical cases and images. This edition is intended to be fi ne grained with emphasis on every nuance of surgical technique and tool technology. Surgical and medical retina strategies have undergone significant paradigm shifts since the fourth edition was written. The fifth edition includes new chapters on
the Constellation vitrectomy system, uveitis, retinal complications of permanent keratoprosthesis, and anti-VEGF therapy.

Many techniques and parameters unique to 25-gauge sutureless vitrectomy are discussed in detail. The authors use 25-gauge sutureless technique for all cases, and microincisional 23-, 25-, or 27-gauge vitrectomy is growing in popularity on a worldwide basis.

The section on anesthesia for vitreoretinal surgery has been completely rewritten from an anesthesiologist’s perspective in collaboration with Gary Fanning, MD, and Jay Mattingly, MD, leading experts on this subject. Kenneth Fung, MD, MBA made a substantial contribution to the chapter on retinal vein occlusions.

The retinopathy of prematurity chapter has been completely rewritten to address new examination, laser guidelines, anti-VEGF therapy, and changing, more conservative indications for surgery.

All chapters have been updated, and new references have been included. All illustrations have been updated; the majority of illustrations have been updated to a 25-gauge approach instead of a 20-gauge approach, and many new illustrations have been included.

It is planned that this text will go forward with an update approximately every 5 years with my able coauthors, associates, and great friends Byron Wood, MS and Jorge Calzada, MD. Steve Charles, MD