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Chapter-52 Newer Innovations and Techniques in Vitreoretinal Surgery

BOOK TITLE: Retina: Medical and Surgical Management

Author
1. Chawla Rohan
2. Kumar Atul
ISBN
9789352702947
DOI
10.5005/jp/books/18054_53
Edition
1/e
Publishing Year
2018
Pages
10
Author Affiliations
1. Dr RP Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, RP Centre for Ophthalmic Sciences, AIIMS, New Delhi, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medial Sciences, New Delhi, India, Dr Rajendra Prasad Centre, All India Institute of Medical Sciences, New Delhi, India, Dr Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
2. All India Institute of Medical Sciences, New Delhi, India, Women’s Health Center; Anil Nursing Home, Jaipur, Rajasthan, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Jaipur, Rajasthan, India, Dr RP Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Anil Hospital, Jaipur, India, All India Institute of Medical Sciences New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Dr. RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
Chapter keywords
Vitreoretinal surgery, intraoperative optical coherence tomography, iOCT, small gauge vitrectomy, intraoperative surgical microscope, robotic eye surgery, vitreous substitutes, retinal implants

Abstract

This chapter describes the newer innovations and techniques in vitreoretinal surgery. The last decade has seen major advances in the field of vitreoretinal surgery. There have been many technological breakthroughs, which have expanded the indications of vitreoretinal surgery. The efficiency, speed, and safety of posterior segment surgeries have markedly improved. Few recently introduced technologies, like intraoperative optical coherence tomography (iOCT) guided vitreoretinal surgery, have opened new frontiers for us that are yet to be explored. This chapter covers the small gauge vitrectomy, improved viewing and illumination, intraoperative surgical microscope with integrated optical coherence tomography and heads-up display, three-dimensional viewing in vitreoretinal surgery, robotic eye surgery, vitreous substitutes, and retinal implants. Optical coherence tomography is a rapid, noncontact, and noninvasive high-resolution optical biopsy of tissue microstructure, which has revolutionized our understanding of the pathology of various retinal disease and guides therapeutic decision-making. Seamless integration of this technology into ophthalmic surgery has now laid the foundation for a new paradigm in the surgical management of ophthalmic disease.

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