Vitreous Microsurgery

Written by a pioneering leader in the development of vitreoretinal surgical techniques and instruments, Vitreous Microsurgery is a comprehensive how-to guide to all vitreoretinal procedures. This thoroughly updated Fifth Edition describes many new techniques and refinements of established procedures. More than 170 three-dimensional full-color illustrations—many by the Charles Retina Institute's resident medical artist, Byron Wood—enable surgeons to clearly visualize the techniques.

This edition has new chapters on the Constellation vitrectomy system, uveitis, retinal complications of permanent keratoprosthesis, and anti-VEGF therapy. All illustrations have been updated, the majority to a 25-gauge approach instead of 20-gauge, and many new illustrations have been added. Many techniques and parameters unique to 25-gauge sutureless vitrectomy are discussed in detail. The retinopathy of prematurity chapter was completely rewritten to address new examination procedures, laser guidelines, anti-VEGF therapy, and changing, more conservative indications for surgery. The section on anesthesia for vitreoretinal surgery was completely rewritten in collaboration with Gary Fanning, MD and Jay Mattingly, MD, leading experts on this subject from an anesthesiologist's perspective.

The focus of the text is on the decision making process a surgeon goes through in evaluating the best course of treatment for his/her patient undergoing vitreous surgery. The book describes in detail clinically proven methods of managing the anterior and posterior segment vitreous surgery patient in a systematic manner. The text is organized in a building block approach with general methodology preceding its application to specific disease states. The book stresses algorithms for intra-operative decision making, relying on knowledge of physical principles and performed in the order of ascending risk.

A companion website included with purchase offers the fully searchable text and an online image bank.

Written by a pioneering leader in vitreoretinal surgery, this volume is a comprehensive how-to guide to all vitreoretinal procedures. The book describes in detail clinically proven methods for managing the anterior and posterior segment vitreous surgery patient in a systematic manner. Dr. Charles emphasizes the decision making process involved in evaluating the best treatment for a patient. With the assistance of Adam Katz, MD, Dr. Charles provides numerous algorithms for intraoperative decision-making, based on knowledge of physical principles and comparative risks of various techniques. More than 100 three-dimensional full-color illustrations, created by Byron Wood, enable surgeons to clearly visualize the techniques. This edition has been completely rewritten with a greatly expanded art program. A Brandon-Hill recommended title.

Written by a pioneering leader in the development of vitreoretinal surgical techniques and instruments, Vitreous Microsurgery is a comprehensive how-to guide to all vitreoretinal procedures. This thoroughly updated Fifth Edition describes many new techniques and refinements of established procedures. More than 170 three-dimensional full-color illustrations—many by the Charles Retina Institute's resident medical artist, Byron Wood—enable surgeons to clearly visualize the techniques.

This edition has new chapters on the Constellation vitrectomy system, uveitis, retinal complications of permanent keratoprosthesis, and anti-VEGF therapy and completely rewritten chapters on anesthesia and on retinopathy of prematurity. All illustrations have been updated, the majority to a 25-gauge approach instead of 20-gauge, and many new illustrations have been added. Many techniques and parameters unique to 25-gauge sutureless vitrectomy are discussed in detail.

A companion website offers the fully searchable text and an image bank.

Doody Review Services

Reviewer:Justin C. Brown, MD(Johns Hopkins Hospital)
Description:This book explores all major vitreoretinal topics in a concise and well-organized manner with excellent schematic illustrations. The third edition represents a 15-year update in surgical techniques.
Purpose:The purpose is to provide an update of the many new technologies and techniques that have been introduced over the past 15 years. The history of vitreoretinal surgery spans only the past 30 years and has been characterized by incredible successes, disappointing shortcomings, and ongoing controversies. Due to the rapidly evolving nature of this field, the second edition had become badly outdated and of questionable utility. This new edition succeeds in filling in the gaps and bringing the reader up-to-date.
Audience:Although it is not explicitly stated, the book seems to be written for the beginning vitreoretinal surgeon (fellowship and junior attending levels). However, the book contains such a wealth of clinical pearls accumulated over Dr Charles' distinguished career that I believe even the most experienced vitreoretinal specialist would find it a useful resource.
Features:The book encompasses all major vitreoretinal topics as well as several surgical techniques currently under investigation. The book is concise, well-organized, and well-written. The numerous schematic illustrations of various techniques are outstanding. The book's only objective shortcoming is that much of the nonsurgical discussion of diabetic retinopathy is outdated or incorrect. Subjectively, I found the authors' frequent referral to themselves in the third person annoying and I question the appropriateness of Appendix B in this type of publication: "Discoveries and Inventions of Steve Charles."
Assessment:This third edition offers a thoughtful, concise, and up-to-date summary of vitreoretinal techniques. It is a "must read" for the beginning vitreoretinal specialist and represents a worthwhile resource for more seasoned surgeon.