Fabio Patelli – författare

This book provides a practical guide to techniques for recurrent macular hole and the application of new devices for macular surgery. Newer and more sophisticated optical coherence tomography (OCT) instruments are described in detail which allow the surgeon to better understand the anatomy of the retina before and after surgery. New forceps and intraoperative OCT that gives immediate visualisation during surgery and permits better surgical outcomes are also highlighted in the book.

Macular Surgery: A Clinical Guide will be an essential resource for all ophthalmic surgeons seeking an informative and easy-to-follow clinical guide for routine and difficult cases.

This book provides the vitreoretinal surgeon with advice and guidance on how to treat and manage the unpredictable complexities and potential intra- and postoperative complications that are encountered during the course of vitreoretinal surgery. Internationally renowned surgeons share their extensive surgical experience in a clearly written and well-illustrated format, delivering helpful practical answers to the important problems frequently confronted in this ever-challenging area of ophthalmic surgery. Management of Complicated Vitreoretinal Diseases will appeal to surgeons young and old, and will find its home not only in the library but also in the office and the operating room itself. The open and positive way in which the many scenarios and difficulties encountered in surgery are confronted will improve the expertise of the surgeon and, most importantly, the outcomes for patients.

Since the introduction of vitrectomy in the 1970s, vitreoretinal surgery has rapidly developed. Initially, new instrumentations were created to facilitate intraocular maneuvers and to treat almost all the vitreoretinal pathologies. High speed vitrectome probs, forceps, scissors, endolaser probes, and new light sources (xenon/photon light) permit us to perform safer surgeries.

However, in the last few years the approach to vitreoretinal surgery has changed with the introduction of small gauge instruments and sutureless surgery. At present there is still confusion among vitreoretinal surgeons about the use of 25-, 23- or 20-gauge sutureless systems.

Leading surgeons in the field were recruited to offer their insights into the sutureless techniques they perform.

Topics dealt with in the book include: - fluidics and technical characteristics of 23- and 25-gauge systems, - basic vitrectomy techniques of 23- and 25-gauge systems, - sclerotomy characteristics of the sutureless approach, - advantages and disadvantages of the sutureless technique, - vitreoretinal pathologies treated with 23- and 25-gauge systems, - complications of the sutureless technique, - current clinical data.