Vitreo-retinal Surgery

Vitreo-retinal Surgery

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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 LaserReplacement of the Diseased Retinal Pigment Epithelial (RPE) CellSecondary Wound Healing after Retinal Attachment (Proliferative Vitreoretinopathy, PVR)Adjunct PharmacotherapyHeavier than Water Vitreous SubstitutesConditions Associated with a High Risk of PVR (e.g. Giant Tear Retinal Detachments)Uveitis Vitrectomy with New Diagnostic and Therapeutic Means

1;1 Retinal Implants;13 1.1;Introduction;13 1.2;The Subretinal Approach;15 1.3;Summary for the Clinician;15 1.4;The Epiretinal Approach;16 1.5;Summary for the Clinician;16 1.6;Experimental Studies;17 2;2 Therapeutic Approaches to Macular Oedema;24 2.1;Introduction;24 2.2;Macular Oedema as a Result of Various Disease Mechanisms;24 2.3;Treatment of Macular Oedema;29 2.4;Summary for the Clinician;35 2.5;References;41 3;3 Is There Room for Improvement in Pucker Surgery?;47 3.1;Introduction;47 3.2;Summary for the Clinician;49 3.3;Patholomorphology;49 3.4;Conventional ERM Peeling;52 3.5;Summary for the Clinician;54 3.6;Studies on Idiopathic ERM Using;58 3.7;Advanced Peeling Techniques;58 4;4 Is There Sufficient Evidence to Support Transpupillary Thermotherapy for Age- Related Macular Degeneration?;76 4.1;Introduction;76 4.2;Mechanism of Conventional Continuous;76 4.3;Wave Photocoagulation and Transpupillary;76 4.4;Thermotherapy in AMD;76 5;5 Retinal Pigment Epithelium and Choroid Translocation in Patients with Exudative Age- Related Macular Degeneration;82 5.1;Introduction;82 5.2;Summary for the Clinician;84 6;6 Giant Retinal Tear;97 6.1;Introduction;97 6.2;Surgical Preparation;102 6.3;Summary for the Clinician;102 6.4;Postoperative Care;105 6.5;Complications;105 6.6;Summary for the Clinician;107 6.7;References;107 7;7 Retinal Pigment Epithelium Differentiation and Dedifferentiation;109 7.1;Introduction;109 7.2;Dedifferentiated RPE Cells;110 7.3;Summary for the Clinician;116 7.4;Experimental Studies;117 7.5;of RPE Cell Differentiation;117 7.6;and Dedifferentiation;117 7.7;Summary for the Clinician;121 8;8 Risk Factors in Proliferative Vitreoretinopathy;128 8.1;Introduction;128 8.2;Clinical Risk;128 8.3;Biological Risk Factors;135 8.4;Summary for the Clinician;138 8.5;Prediction of Risk for PVR Summary for the Clinician;138 8.6;References;139 9;9 Prevention of Proliferative Vitreoretinopathy;142 9.1;Introduction;142 9.2;Surgical Considerations;146 9.3;Adjunctive Treatment;149 10;10 The Tamponade Effect;153 10.1;Introduction;153 10.2;Nature of Toxicity;160 11;11 Vitreous Surgery in Uveitis and Allied Disorders;168 11.1;Introduction;168 11.2;Inflammation;168 11.3;Summary for the Clinician;174 12;Subject Index;180
ISBN 9783540271529
Artikelnummer 9783540271529
Medientyp E-Book - PDF
Copyrightjahr 2006
Verlag Springer-Verlag
Umfang 178 Seiten
Sprache Englisch
Kopierschutz Digitales Wasserzeichen