eBook Complications of Vitreo-Retinal Surgery, 1st Edition

  • Noemi Lois
  • Published By: Lippincott Williams & Wilkins
  • ISBN-10: 1469830256
  • ISBN-13: 9781469830254
  • DDC: 617.7
  • Grade Level Range: College Freshman - College Senior
  • 528 Pages | eBook
  • Original Copyright 2013 | Published/Released January 2015
  • This publication's content originally published in print form: 2013
  • Price:  Sign in for price



In the ever-changing field of vitreo-retinal surgery, the factor that may best distinguish a great surgeon from a good one is the ability to avoid and manage complications. Within the pages of Complications Of Vitreo-Retinal Surgery, readers will discover the practical information ophthalmic surgeons need to address a wide range of intra- and postoperative complications associated with vitreo-retinal surgery. The text addresses a broad range of complications, occurring in both established and emerging surgical techniques. Each potential complication is analyzed in detail, including information on pathogenesis and risk factors. Chapters are organized by potential complication, with each addressed by a single contributing author as if he/she is the surgeon on the case. While created specifically for vitreo-retinal surgeons, this book will provide useful information for other members of the surgical team as well as for general ophthalmologists, residents, and optometrists who see patients before and after vitreo-retinal procedures.

Table of Contents

Front Cover.
Title Page.
Copyright Page.
Dedication Page.
1: Complications During or Following the Surgical Procedure.
2: Complications of Scleral Buckling Procedures—Intraoperative Complications.
3: Complications Associated with Suturing the Scleral Buckle.
4: Complications Associated with Drainage of Subretinal Fluid.
5: Complications Associated with the Injection of Air/Gas.
6: Air/Gas Injection under Tenon’s Conjunctiva.
7: “Fish-Egg” Air/Gas Bubble Formation.
8: Air/Gas Injection behind the Lens.
9: Subretinal Injection of Air/Gas.
10: Complications of “Buckling” the Retinal Break.
11: Cannot Find Retinal Break.
12: Inability to Close the Retinal Break on the Buckle.
13: Scleral Perforation and Penetration into the Eye.
14: Complications of Scleral Buckling Procedures—Postoperative Complications.
15: Exposure and Infection of the Scleral Buckle.
16: Migration of the Scleral Buckle.
17: Complications of Pneumatic Retinopexy.
18: Missed and New Retinal Breaks.
19: Complications of Pars Plana Vitrectomy—Intraoperative Complications.
20: Complications Related to the Setting Up, Maintaining, and Closing off the Ports.
21: Subconjunctival Hemorrhage, Marked Chemosis.
22: Difficulties Related to the Location/Size of Sclerostomies.
23: “Losing” the Tunnels during Trocar Insertion in Small-Bore Vitrectomy.
24: Suprachoroidal and Subretinal Infusion.
25: Accidental Intraoperative Removal of the Infusion Port.
26: Vitreoretinal Incarceration at the Sclerotomy.
27: Leaking Ports at the End of Surgery.
28: Difficulties Suturing and Closing the Sclerotomies.
29: Complications Related to the Crystalline Lens.
30: Development of Cataract Intraoperatively (Not Related to Lens Touch).
31: Lens Touch with or without Capsular Breach.
32: Crystalline Lens Subluxation and Luxation.
33: Complications during Phaco-Vitroectomy.
34: Continuous Flattening of the Anterior Chamber.
35: Posterior Capsule Rupture (Can I Insert a Lens? Can I Preserve the Capsular Bag?) and Zonulodyalysis.
36: Complications Related to the Induction of a Posterior Vitreous Detachment.
37: I Cannot Detach the Vitreous in an Eye with an Attached Retina.
38: I Cannot Detach the Vitreous in an Eye with a Detached Retina.
39: Detaching the Vitreous in the Presence of Neovascularization.
40: Detaching the Vitreous in “Friable” Retina.
41: Complications Related to the Intraoperative Use of Tamponade Agents.
42: Small Bubble Formation when Inserting Perfluorocarbon Liquid.
43: Intraoperative Displacement of Tamponade Agents.
44: Difficulties Removing Tamponade Agents after Short- and Long-Term Tamponade.
45: Subretinal Displacement of Dyes.
46: Iatrogenic Retinal Tears.
47: Breaks Due to Vitreous Traction (Indirect Trauma).
48: Retinal Breaks Due to Direct Retinal Trauma.
49: The “Missing” Break.
50: Retinal Slippage.
51: Complications in Relation to the Vitreoretinal Surgical Systems Used.
52: Complications of Pars Plana Vitrectomy—Postoperative Complications.
53: Complications Related to the Tamponade Agent.
54: Anterior Displacement of the Tamponade Agent (subconjunctivally and to the Anterior and Posterior Chambers).
55: Glaucoma Following Vitreoretinal Surgery.
56: Subfoveal Displacement of the Tamponade Agent.
57: Silicone Oil Associated Visual Acuity Loss.
58: Emulsification of Tamponade Agents.
59: Retinal Redetachment Following Removal of the Tamponade Agent.
60: Complications Following Phaco-Vitrectomy.
61: Posterior Capsule Opacification Following Phaco-vitrectomy.
62: Intraocular Lens Decentration/Luxation/Subluxation.
63: Synechiae.
64: Refractive Outcome and Possible Errors Following Combined Phaco-Vitrectomy.
65: Lack of Capsular Support.
66: Macular Folds.
67: Visual Field Loss.
68: Hypotony.
69: Complications Common to Scleral Buckling, Pneumatic Retinopexy and Pars Plana Vitrectomy—Intraoperative Complications.
70: Problems Initiating Surgery.
71: Working in Small and Deep Set Eyes.
72: Managing Scarred and Adherent Conjunctiva.
73: Difficulties Isolating Extraocular Muscles.
74: Poor View of the Fundus.
75: Lack of Corneal Transparency.
76: Inadequate Size of the Pupil.
77: Problems Related to the Lens Capsule.
78: Difficult View Due to the Presence of Tamponade Agents.
79: Intraocular Lens “Steaming” during Pars Plana Vitrectomy.
80: Intraocular Bleeding.
81: Subretinal Hemorrhage Complicating Retinal Detachment Surgery.
82: Bleeding during Pars Plana Vitrectomy.
83: Intraoperative Suprachoroidal Hemorrhage.
84: Complications Common to Scleral Buckling, Pneumatic Retinopexy and Pars Plana Vitrectomy—Postoperative Complications.
85: Refractive Changes Associated with Vitreoretinal Surgery.
86: Diplopia and Strabismus.
87: Serous Choroidal Detachment.
88: Postoperative Suprachoroidal Hemorrhage.
89: Epimacular Membrane.
90: Postoperative Macular Edema.
91: Postoperative Macular Hole Formation.
92: Persistent Localized Subretinal Fluid.
93: Retinal Redetachment.
94: Due to Missed Breaks.
95: Due to New Breaks.
96: Due to Proliferative Vitreoretinopathy.
97: Endophthalmitis in the Microincision Vitrectomy Surgery ERA.
98: Sympathetic Ophthalmia.
99: Preventing Surgical Complications by the Use of Non-Technical Surgical Skills.
100: Reducing Complications through Nontechnical Surgical Skills.