Basic and Advanced Vitreous Surgery

Vitrectomy techniques and instrumentation have been used successfully to treat a number of conditions in the anterior segment. These include: 1) vitreous in the anterior chamber, 2) inadequate pupillary openings, 3) lens surgery, 4) epithelial downgrowth, 5) hyphemas, and 6) certain glaucomas. These methods offer several advantages to the anterior segment surgeon. The advantages are primarily those of a well-controlled tissue excision system, maintenance of the normal shape of the globe, and ability to control intraocular pressure. ACKNOWLEDGMENTS This work was supported in part by the Women's Committee of the International Medical Eye Bank of Maryland. REFERENCES 1. Harms H, Ber (1953): Dtsch Ophthal Ges, 58, 119. 2. Barraquer JI, Amer J (1956): Ophthal, 42, 916. 3. Stern WH, Diddie KR, Smith, RE (1983): Vitrectomy techniques for the anterior segment surgeon, a practical approach. Grune and Stratton, NY, pp. 24. 4. Orth DH, Henry MD (1978): Current concepts of cataract surgery, sclected proceedings of the fifth cataract surgery, retinal congress, Emery J, (ED) St Louis, CV Mosby, p 375. Basic and advanced vitreous surgery Section III G. W. Blankenship, M. Stirpe, M. Gonvers, S. Binder (eds. ) Anterior segment Fidia Research Series, vol. n, vitrectomy Liviana Press, Padova © 1986 THE CORNEA AND VITREOUS SURGERY Severino Fruscella, Piero Ducoli and Giustino Boccassini* Fondazione Oftalmologica 'G. ß. ßietti', Piazza Sassari, 5, Roma *Divisione Oculistica, C. T. O. , Via S.

Development of Vitreous Surgery (G.B. Bietti memorial lecture).- Development of Vitreous Surgery (G.B. Bietti memorial lecture).- Training For Vitreous Surgery: Animal Surgery.- Training For Vitreous Surgery: Animal Surgery.- Instrumentation.- Instrumentation for Vitreoretinal Surgery.- How Automatic Infusion and Suction have Changed During the Last Five Years.- “Le System”: A Unified Microsurgical Center.- The Phacoexcavator: A New Approach to Lentectomy.- Pneumatic Forceps for the Removal of Epiretinal Membranes.- Mechanical Systems for Irrigation and Suction of High Viscosity Silicone Oil.- Preoperative evaluation and patient preparation.- Pre-Vitrectomy Assessment by Ultrasound.- Preparation of the Patient for Vitrectomy Surgery.- Anterior segment vitrectomy.- Vitrectomy Techniques for the Anterior Segment Surgeon.- The Cornea and Vitreous Surgery.- Management of Complicated Cataracts Using Vitrectomy Instruments.- Pars Plana Lensectomy.- Lens and Vitreous Complications.- Management of Epithelial Cysts and Ingrowth.- Vitrectomy in the Management of Dislocated Crystalline Lenses.- Viscomicrosurgery: The Use of a New Fraction of the Sodium Salt of Hyaluronate.- Use of the Neodynium Yag Laser for the Anterior Segment Surgeon.- Surgical Management of Selected Intraocular Lens Complications.- Closed Vitreous Surgery for Complications of Intraocular Lens Implantation I. Indications.- Closed Vitreous Surgery for Complications of Intraocular Lens Implantation II. Techniques.- Closed Vitreous Surgery for Complications of Intraocular Lens Implantation III. Results and Complications.- Vitrectomy in the Management of Posteriorly Dislocated Intraocular Lenses.- Pseudophakia: Incidence of Cystoid Macular Edema.- Pseudophakic Retinal Detachments.- IOL and Vitreo-Retinal Complications.- Vitreal hemorrhage and opacities.- Pars Plana Vitrectomy for the Treatment of Vitreal Hemorrhage.- Pars Plana Vitrectomy in Chronic Uveitis.- Retinal detachment A. Giant retinal tears.- Giant Retinal Tears.- Giant Retinal Tear.- Management of Giant Retinal Tears using Vitrectomy and Fluid/Silicone-Oil Exchange.- Retinal detachment B. Macular hole.- Macular Hole and Retinal Detachment.- Treatment of Myopic Macular Holes and Detachment with Liquid Vitreous — Intravitreal Gas Exchange.- Retinal Detachment with Macular Hole.- Vitrectomy Fluid-Gas Exchange in the Treatment of Macular Hole.- Vitreo-retinal proliferation.- Complications of Retinal Detachment.- Proliferative Vitreoretinopathy and Surgical Approach.- Validity of Scleral Surgery for the Treatment of Vitreo-Retinal Tractions and Proliferations.- Subretinal Proliferation.- The use of Silicone Oil Following Failed Vitrectomy for Retinal Detachment with Advanced Proliferative Vitreoretinopathy.- Behaviour of Retinal Proliferation after Silicone Oil Injection.- Vitreo-retinal proliferation / Macular pucker.- Surgical Treatment of Macular Pucker.- Diabetes.- Preoperative Iris Angiography: a Prognostic Tool for Diabetic Patients.- Prognostic Values of Preoperative Findings for Diabetic Vitrectomy.- Lens Influence on Iris Neovascularization and Glaucoma.- Diabetic Traction Detachment.- Vitreous Surgery for Proliferative Diabetic Retinopathy.- Removal of Fibrovascular Diabetic Membranes.- Argon Laser Endophotocoagulation.- Cataract with Rubeosis Iridis: Its Treatment.- Long Term Diabetic Retinopathy Vitrectomy Results: 10 Years Follow-Up.- Management of Postvitrectomy Diabetic Vitreous Hemorrhage.- Retrolental fibroplasia.- Retrolental Fibroplasia: Pathogenesis of Late Stages.- Retrolental Fibroplasia: Surgical Therapy.- Ocular trauma.- Indications and Timing of Vitrectomy in Trauma.- Penetrating Injuries.- Treatment of Double Perforating Injuries.- Progress in Foreign Body Extractors.- Removal of Intraocular Foreign Bodies.- Exdophthalmitis.- Vitrectomy in the Management of Infectious Endophthalmitis.- Complications of vitrectomy.- Complications of Vitreous Surgery.- Internal tamponade.- Fluid/Gas Exchange in Vitreous Surgery.- Silicone Oil: Results in 300 Cases.- Laser Treatment of Retinal Detachment With P.V.R. After Vitrectomy in the Presence of Silicone Oil.- Internal Tamponade With Silicone Oil: Echographic Evaluation.- Complications of Silicone oil.- Endothelial Cell Density in Patients With Intravitreal Silicone oil Injection.- Vitrectomy and Silicone Oil Infusion: Pattern of Ocular Hydrodynamics.- Intraocular Silicone oil: an Experimental Study.- Mesical therapy.- Inhibition of Experimental Intraocular Proliferation and Retinal Detachment by Various Drugs.- Ocular Effects and Clearance of Intravitreal 5-Fluorouracil.