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El. knyga: Internal Limiting Membrane Surgery

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  • Formatas: PDF+DRM
  • Išleidimo metai: 18-Dec-2020
  • Leidėjas: Springer Verlag, Singapore
  • Kalba: eng
  • ISBN-13: 9789811594038
Kitos knygos pagal šią temą:
Internal Limiting Membrane SurgeryDidesnis paveikslėlis
  • Formatas: PDF+DRM
  • Išleidimo metai: 18-Dec-2020
  • Leidėjas: Springer Verlag, Singapore
  • Kalba: eng
  • ISBN-13: 9789811594038
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This book describes and illustrates the various operative techniques employed in internal limiting membrane (ILM) surgery in patients with different macular diseases. Clear guidance is first provided on terminology, bearing in mind that, in the past, methods and results have often been misread or misunderstood owing to confusing terms. Instruction is then given on handling of the ILM and the use of vital dyes and vitreous substitute.  ILM peeling, ILM insertion, and ILM flap techniques are explained, and detailed descriptions are provided of the ILM surgical procedures currently performed in conditions such as macular hole, epiretinal membrane, diabetic macular edema, myopic tractional maculopathy, retinal detachment, and optic pit maculopathy. In addition, a chapter is devoted to the postoperative anatomical and functional changes to the macula after ILM surgery in order to help readers both to understand the mechanism of metamorphopsia and to reduce this symptom. The book will be an excellent up-to-date guide for all vitreoretinal surgeons.
Part I Principles and Techniques of Internal Limiting Membrane Surgery
1 Terminology
3(2)
1.1 Introduction
3(1)
1.2 Terminology of ILM Surgery
4(1)
1.2.1 ILM Peeling
4(1)
1.2.2 ILM Insertion
4(1)
1.2.3 ILM Flap
4(1)
References
4(1)
2 Anatomy of Internal Limiting Membrane
5(4)
2.1 Introduction
5(1)
2.2 Histology
5(1)
2.3 Biochemical Composition
5(1)
2.4 Topographical Variation
6(1)
2.5 Aging Changes of the ILM
7(1)
2.6 Changes of the ILM in Diabetes
7(1)
2.7 Role of the ILM in Proliferative Diseases
7(1)
References
8(1)
3 Instrument
9(6)
3.1 Introduction
9(1)
3.2 Microforceps
9(1)
3.2.1 ILM Forceps
9(1)
3.2.2 Asymmetrical Forceps
9(1)
3.2.3 End-Grasping Forceps
9(1)
3.2.4 Maxgrip Forceps
10(1)
3.2.5 Serrated Forceps
10(1)
3.3 Scraper
10(1)
3.4 Micropick
11(1)
3.5 Cannulas
11(1)
3.6 Lens
12(3)
4 Vital Dye
15(4)
4.1 Introduction
15(1)
4.2 Vital Dyes
15(2)
4.2.1 Indocyanine Green
15(1)
4.2.2 Brilliant Blue G
15(1)
4.2.3 Trypan Blue
16(1)
4.2.4 Infracyanine Green
17(1)
4.2.5 Triamcinolone Acetonide
17(1)
4.3 Double Staining
17(1)
References
18(1)
5 Vitreous Substitute
19(8)
5.1 Introduction
19(1)
5.2 Vitreous Substitute
19(1)
5.2.1 Intraocular Gas
19(1)
5.2.2 Silicone Oil
19(1)
5.2.3 Perfluorocarbon Liquid
20(1)
5.3 Expansile vs. Non-expansile
20(2)
5.3.1 Expansile Intraocular Tamponade
20(1)
5.3.2 Non-expansile Intraocular Tamponade
21(1)
5.4 Interfacial Tension and Surface Tension
22(1)
5.5 Buoyancy and Specific Gravity
23(1)
5.6 Volume of Intraocular Tamponade
23(2)
5.6.1 Injection Volume
24(1)
5.6.2 Duration of Tamponade Effect
24(1)
5.7 Refractive Index
25(1)
5.8 Summary
26(1)
References
26(1)
6 Internal Limiting Membrane Peeling
27(4)
6.1 Introduction
27(1)
6.2 Rationale of ILM Peeling Surgery
27(1)
6.3 Surgical Technique
27(2)
6.3.1 Induction of Posterior Vitreous Detachment
27(1)
6.3.2 Initiation of ILM Peeling
28(1)
6.3.3 Peeling the ILM
29(1)
6.4 Complications of ILM Peeling
29(1)
References
30(1)
7 Internal Limiting Membrane Insertion
31(6)
7.1 Introduction
31(1)
7.2 Rationale of ILM Insertion Surgery
31(1)
7.3 Surgical Techniques of ILM Insertion
31(2)
7.3.1 ILM Insertion with Peeling
32(1)
7.3.2 Free ILM Insertion
32(1)
7.3.3 ILM Insertion Without Peeling
33(1)
7.4 Pitfalls of ILM Insertion
33(2)
7.4.1 Determining an Amount of ILM Sheet to Be Inserted
33(1)
7.4.2 Retinal Pigment Epithelial Atrophy
34(1)
7.4.3 Fluid-Air Exchange
34(1)
References
35(2)
8 Internal Limiting Membrane Flap
37(10)
8.1 Introduction
37(1)
8.2 Rationale of ILM Flap Surgery
37(1)
8.3 Making ILM Flap
38(3)
8.3.1 ILM Flap Without Peeling
38(1)
8.3.2 ILM Flap with Peeling
38(3)
8.3.3 Free ILM Flap
41(1)
8.4 Maintaining ILM Flap Position
41(2)
8.4.1 Fluid-Air Exchange
41(1)
8.4.2 Flap Site
41(1)
8.4.3 Stabilizer
42(1)
8.5 Alternative Options for ILM flap
43(2)
8.5.1 Multiple Free ILM Insertion
43(1)
8.5.2 Lens Capsule
44(1)
8.5.3 Autologous Retinal Patch Graft
44(1)
References
45(2)
9 Macular Changes after Internal Limiting Membrane Surgery
47(14)
9.1 Introduction
47(1)
9.2 Dissociated Optic Nerve Fiber Layer
47(2)
9.3 Macular Deformation after ILM Peeling
49(8)
9.3.1 Foveal Asymmetric Elongation
49(2)
9.3.2 Foveal Displacement
51(1)
9.3.3 Macular Deformation
51(2)
9.3.4 Macular Deformation and Metamorphopsia
53(4)
9.4 Summary
57(1)
References
57(4)
Part II Internal Limiting Membrane Surgery in Retinal Diseases
10 Idiopathic Macular Hole
61(1)
10.1 Introduction
61(1)
10.2 Start-up Checks for MH Surgery
61(1)
10.3 ILM Surgery Techniques for MH
62(5)
10.3.1 ILM Peeling
63(1)
10.3.2 ILM Insertion or Flap Without Peeling
63(1)
10.3.3 ILM Insertion with Peeling
64(1)
10.3.4 ILM Flap with Peeling
64(1)
10.3.5 Free ILM Insertion
64(1)
10.3.6 Free ILM Flap
64(1)
10.3.7 Lens Capsular Insertion
65(1)
10.3.8 Autologous Retinal Graft
66(1)
10.4 Surgical Results of MH Surgery
67(3)
10.4.1 Anatomical Outcomes
67(1)
10.4.2 Functional Outcomes
68(2)
References
70(1)
11 Epiretinal Membrane
70(3)
11.1 Introduction
73(1)
11.2 Rationale of ILM Peeling in ERM Surgery
73(1)
11.3 Surgical Techniques
73(4)
11.3.1 Step-by-Step Technique
73(2)
11.3.2 En bloc Technique
75(1)
11.3.3 Considerations for ILM Peeling in ERM Surgery
75(2)
11.4 Surgical Outcomes of ERM Surgery with ILM Peeling
76(1)
References
77(2)
12 Diabetic Macular Edema
79(4)
12.1 Introduction
79(1)
12.2 Mechanism and Indication of Vitrectomy for DME
79(1)
12.3 Surgical Technique
80(1)
12.4 Surgical Outcomes and Management of Persisting DME After Vitrectomy
81(1)
References
81(2)
13 Myopic Tractional Maculopathy
83(6)
13.1 Introduction
83(1)
13.2 Pathogenesis and Diagnosis
83(1)
13.2.1 Inward Traction by Abnormalities of VMI
83(1)
13.2.2 Outward Traction Due to Posterior Staphyloma----
83(1)
13.2.3 Diagnosis of MTM
83(1)
13.3 When to Operate
84(1)
13.4 Surgical Techniques
85(2)
13.4.1 Vitrectomy with ILM Peeling
85(1)
13.4.2 Vitrectomy Without ILM Peeling
85(1)
13.4.3 Vitrectomy with Fovea-Sparing ILM Peeling
86(1)
13.4.4 Tamponade
86(1)
13.5 Surgical Outcomes
87(1)
References
87(2)
14 Macular Hole Retinal Detachment
89(6)
14.1 Introduction
89(1)
14.2 Pathogenesis
89(1)
14.3 Surgical Technique
89(4)
14.3.1 Resolving Inward Traction
89(1)
14.3.2 Removing Subretinal Fluid
90(1)
14.3.3 Closing Macular Hole
90(3)
14.4 Outcomes
93(1)
References
93(2)
15 Rhegmatogenous Retinal Detachment
95(6)
15.1 Introduction
95(1)
15.2 Rationale of ILM Peeling in RRD Surgery
95(1)
15.3 Debates of ILM Peeling During Vitrectomy for RRD
96(1)
15.3.1 Pros
96(1)
15.3.2 Cons
96(1)
15.3.3 Debate Regarding Concurrent ILM Peeling
96(1)
15.4 Selective ILM Peeling in RRD Surgery
96(1)
15.5 Surgical Procedures
97(2)
15.5.1 Considerations Before Peeling
97(1)
15.5.2 Vital Dye
97(1)
15.5.3 Surgical Technique
97(2)
References
99(2)
16 Optic Disc Pit Maculopathy
101
16.1 Introduction
101(1)
16.2 Pathophysiology
101(1)
16.3 Surgical Techniques
101(2)
16.3.1 ILM Peeling
101(1)
16.3.2 ILM Flap
102(1)
16.3.3 Laser Photocoagulation
103(1)
16.4 Surgical Outcomes
103(1)
References
104
Ji Eun Lee, Lee Eye Clinic,  Busan,  Korea (Republic of) 



School of Medicine, Pusan National University, Yangsan, Korea (Republic of) 

Ik Soo Byon, Department of Ophthalmology, Pusan National University Hospital, Busan, Korea (Republic of) School of Medicine, Pusan National University, Yangsan, Korea (Republic of) 

Sung Who Park,  Department of Ophthalmology, Pusan National University Hospital, Busan, Korea (Republic of) 

School of Medicine, Pusan National University, Yangsan, Korea (Republic of) 
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