Small-Gauge Vitrectomy for Diabetic Retinopathy
This book describes step by step how to operate on the patient with diabetic retinopathy. After thorough explanation of surgical planning, including the potential need to perform individual procedures at different time points, each stage of the vitrectomy
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Ulrich Spandau Zoran Tomic
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Small-Gauge Vitrectomy for Diabetic Retinopathy
Ulrich Spandau • Zoran Tomic
Small-Gauge Vitrectomy for Diabetic Retinopathy
Ulrich Spandau Department of Ophthalmology Uppsala University Hospital Uppsala Sweden
Zoran Tomic Department of Ophthalmology Uppsala University Hospital Uppsala Sweden
ISBN 978-3-319-14786-4 ISBN 978-3-319-14787-1 DOI 10.1007/978-3-319-14787-1
(eBook)
Library of Congress Control Number: 2015934365 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
Preface
Diabetic retinopathy is one of the biggest challenges for a vitreoretinal surgeon. The challenge is twofold: on the one hand, in terms of the complicated surgery and on the other hand in terms of the sheer volume of patients. Today there are 350 million people with diabetes and in 2035 there will be 600 million. The fastest growth is not in industrialized countries but in developing countries and especially in India and China. The lack of medical care in these countries and the immense volume of patients lead to very advanced cases of diabetic retinopathy with tractional retinal detachment, which often ends in blindness. A well-timed medical treatment can prevent the progression of the difficult disease. In this book we demonstrate, step-by-step, how to treat a diabetic eye and especially how to operate on a tractional retinal detachment. Vitreoretinal surgery is developing rapidly. Small-gauge vitrectomy is transforming vitreoretinal surgery into a much safer and less traumatic surgical procedure. We are convinced that small-gauge vitrectomy will become the gold standard for vitrectomy worldwide; including diabetic retinopathy. It will be as safe and reliable as phacoemulsification is today. Three factors are essential
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