Vitreo-retinal Surgery (eBook)

Bernd Kirchhof, David Wong (Herausgeber)

eBook Download: PDF

2006
178 Seiten
Springer Berlin (Verlag)
978-3-540-27152-9 (ISBN)

Infos

Unlike the cornea or lens, the retina is part of the central nervous system and cannot be replaced. Therefore degeneration of the outer retina is blinding, but trials using devices such as retinal implants which combine biology with technology are showing promise at restoring vision. Macular diseases are the most common cause of blindness in the developed countries. Oedema of the macula may arise in the retina, such as in diabetes mellitus or in epiretinal membrane formation, but most importantly it is age-related insufficiency of the underlying retinal pigment epithelial cell that causes central scotoma.

This volume on vitreoretinal surgery is written by authors who are leaders in these fields of research. It covers the large body of experimental research performed to date on the most urgent clinical problems of vitreoretinal disease. Topics dealt with in the book include:

Methods against etinal Exudation by Thermal Laser

Replacement of the Diseased Retinal Pigment Epithelial (RPE) Cell

Secondary Wound Healing after Retinal Attachment (Proliferative Vitreoretinopathy, PVR)

Adjunct Pharmacotherapy

Heavier than Water Vitreous Substitutes

Conditions Associated with a High Risk of PVR (e.g. Giant Tear Retinal Detachments)

Uveitis Vitrectomy with New Diagnostic and Therapeutic Means

Inhalt

1 Retinal Implants 13
Introduction 13
The Subretinal Approach 15
Summary for the Clinician 15
The Epiretinal Approach 16
Summary for the Clinician 16
Experimental Studies 17
2 Therapeutic Approaches to Macular Oedema 24
Introduction 24
Macular Oedema as a Result of Various Disease Mechanisms 24
Treatment of Macular Oedema 29
Summary for the Clinician 35
References 41
3 Is There Room for Improvement in Pucker Surgery? 47
Introduction 47
Summary for the Clinician 49
Patholomorphology 49
Conventional ERM Peeling 52
Summary for the Clinician 54
Studies on Idiopathic ERM Using 58
Advanced Peeling Techniques 58
4 Is There Sufficient Evidence to Support Transpupillary Thermotherapy for Age- Related Macular Degeneration? 76
Introduction 76
Mechanism of Conventional Continuous 76
Wave Photocoagulation and Transpupillary 76
Thermotherapy in AMD 76
5 Retinal Pigment Epithelium and Choroid Translocation in Patients with Exudative Age- Related Macular Degeneration 82
Introduction 82
Summary for the Clinician 84
6 Giant Retinal Tear 97
Introduction 97
Surgical Preparation 102
Summary for the Clinician 102
Postoperative Care 105
Complications 105
Summary for the Clinician 107
References 107
7 Retinal Pigment Epithelium Differentiation and Dedifferentiation 109
Introduction 109
Dedifferentiated RPE Cells 110
Summary for the Clinician 116
Experimental Studies 117
of RPE Cell Differentiation 117
and Dedifferentiation 117
Summary for the Clinician 121
8 Risk Factors in Proliferative Vitreoretinopathy 128
Introduction 128
Clinical Risk 128
Biological Risk Factors 135
Summary for the Clinician 138
Prediction of Risk for PVR Summary for the Clinician 138
References 139
9 Prevention of Proliferative Vitreoretinopathy 142
Introduction 142
Surgical Considerations 146
Adjunctive Treatment 149
10 The Tamponade Effect 153
Introduction 153
Nature of Toxicity 160
11 Vitreous Surgery in Uveitis and Allied Disorders 168
Introduction 168
Inflammation 168
Summary for the Clinician 174
Subject Index 180

Produkt-Details

• Erscheint lt. Verlag: 6.8.2006
• Reihe/Serie: Essentials in Ophthalmology
• Reihe/Serie: Essentials in Ophthalmology
• Zusatzinfo: XIV, 178 p. 79 illus., 61 illus. in color.
• Verlagsort: Berlin
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Augenheilkunde
• Schlagworte: AMD • Dyes • Giant retinal tears • Laser • macular degeneration • Macular Edema • Macular Holes • PE-Choroid translocation • Pucker Surgery • PVR • retina • Retina Implant • RPE differentiation • Tamponade effect • TTT • Uveitis • Vitrectomy • Vitreo-retinal Surgery
• ISBN-10: 3-540-27152-X / 354027152X
• ISBN-13: 978-3-540-27152-9 / 9783540271529