Raj Vardhan Azad MD FRCS (Ed) FAMS FICS
Professor of Ophthalmology Head, Vitreoretinal and ROP Unit Dr Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences
New Delhi,
India
Rajiv Anand MD FRCS FRC (Ophth) UK
Associate Professor of Ophthalmology University of Texas Southwestern Medical Center Texas Retina Associates
Dallas,
Texas,
USA
Yog Raj Sharma MD
Professor of Ophthalmology Dr Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences
New Delhi,
India
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Retinal Detachment Surgery: A Practical Guide
© 2006, Raj Vardhan Azad, Rajiv Anand, Yog Raj Sharma
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
First Edition: 2006
9788180616136
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd., A 14, Sector 60, Noida
This book is dedicated to
our wives
Sheela (Raj Vardhan Azad),
Aditi (Rajiv Anand)
and
Asha (Yog Raj Sharma)
whose love and
care made our mission possible.
7List of Contributors
- Rajiv Anand md frcs (ed) frc (ophth)
- Associate Professor of Ophthalmology
- University of Texas
- Southwestern Medical Center
- Texas Retina Associates
- Dallas, Texas, USA
- E-mail: rajivanand@swbell.net
- Raj Vardhan Azad md frcs (ed) fams fics
- Professor of Ophthalmology and Head, Vitreo-retinal Unit
- Dr RP Centre, AIIMS, New Delhi
- E-mail: rajvadhanazad@hotmaiL.com
- Yog Raj Sharma ms
- Professor of Ophthalmology
- Dr RP Centre, AIIMS
- New Delhi
- E-mail: Yograjsharma@yahoo.com
- Shorya Vardhan Azad mbbs
- Government Medical College
- Sector 32, Chandigarh, Punjab
- E-mail: wicketpower@hotmail.com
- Mubarak Al-Azmi md frcs (c)
- Sr Consultant Vitreo-retinal Surgeon
- Former Head, Vitreo-retina Unit
- Al Bahar Ophthalmology Centre
- PO Box 25027, Safat 13115, Kuwait
- E-mail: dr_ajmi@qualitynet.net
- Khaled Al Sabti md frcs (c)
- Consultant Vitreo-retinal Surgeon
- Assistant Professor, Faculty of Medicine
- Kuwait University, Kuwait
- Head, Vitreo-retina Unit
- Al Bahar Ophthalmology Centre
- PO Box 25027
- Safat 13115, Kuwait
- E-mail: khalidsabti@yahoo.com
- Parijat Chandra md
- Senior Research Officer, CSIR
- Dept of Science and Technology
- Associated with Dr RP Centre
- AIIMS, New Delhi
- E-mail: parijat@yahoo.com
- Niranjan Kumar md dnb frcs (ed)
- Registrar, Vitreo-retina Unit
- Al Bahar Ophthalmology Centre
- PO Box 25027
- Safat 13115, Kuwait
- E-mail: nirkumar@hotmail.com
- Laxamana M Kooragayala md
- Associate Professor of Ophthalmology
- Louisiana State University
- Shreveport, Louisiana, USA
- Nikhil Pal md
- Senior Resident, Vitreo-retina Unit
- Dr RP Centre
- AIIMS, New Delhi
- E-mail: nikhilpal76@yahoo.com
- Deependra Vikram Singh md
- Senior Resident, Vitreo-retina Unit
- Dr RP Centre
- AIIMS, New Delhi
- E-mail: deependravsingh@yahoo.com
- Richard D Sim md
- Consultant Anaesthesiologist
- North Texas Anesthesia Consultants
- Dallas, Texas, USA
- Wayne Solley md
- Consultant Ophthalmologist and Vitreoretinal Surgeon
- Texas Retina Associates
- Arlington, Texas, USA
Recent developments and advancement in ophthalmology have made a sea-change in overall management of retinal detachment. With the refinement in microsurgical instruments, suture and implant material, the technique of retinal detachment surgery has attained a high standard and has resulted in better visual outcome than it used to be earlier. Advent of vitrectomy has further helped and armed the retinal surgeons in tackling some of the complex, recurrent and mind boggling retinal detachments.
Since science and more so medical science is a dynamic field where every year new technique and invention keep pouring in, we thought of writing this book to give the latest state-of-art techniques for various types of retinal detachment that we encounter in our clinical practice. We have limited ourselves to the practical aspects of retinal detachment surgery so as to give hands on knowledge of the management of retinal detachment surgery.
This book is a kind of skill transfer compendium which is divided into 18 chapters and is easy to understand. Chapters like Vitreous substitutes, Anesthesia for retinal surgery, Instruments, implants and suture materials in retinal detachment surgery have been included to give extra flavor and information so that the readers do not have to refer to other books.
We hope all residents, fellows and practising ophthalmologists will be benefited and will find this book both handy and handful. We are greatly indebted to all contributors for sticking to their time limits and guidelines we had provided them.
We are also thankful to Shri JP Vij, Chairman and Managing Director, M/s Jaypee Brothers Medical Publishers (P) Ltd who has reminded us of our task ahead and taken pains in bringing the book in this form.
We would like to acknowledge the help rendered by our staff Ms Cyndi Funder Burgh, Dallas, Texas, USA, Mr Rajpal Singh, Dr RP Centre for Ophthalmic Sciences, New Delhi, India, Ms Rashmi Chadha, NBE, Ministry of Health and Family Welfare, New Delhi, India in preparation of this book.
Raj Vardhan Azad
Rajiv Anand
Yog Raj Sharma
11Acknowledgements
We extend our special thanks to Dr Deependra Vikram Singh and Dr Nikhil Pal both senior residents at Dr RP Centre, AIIMS, New Delhi for their immense help in preparation of this book.