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With this book, Dr. Zivojnovic presents to the ophthalmic community the long awaited detailed report of his surgical concepts and operative techniques in the field of vitreoretinal surgery. It is fascinating to read how his concepts for the treatment of complicated retinal detachments evolved from the intra ocular use of silicone oil to a combination of vitreous surgery with silicone oil tamponade. The next step was surgical treatment of the retina itself. It takes an unconventional mind to break major taboos and to state the retinotomies and retinectomies are necessary if scar tissue cannot be surgically removed and that buckling procedures are no longer necessary to treat retinal breaks. This book discusses the use of silicone oil in vitreoretinal surgery. Silicone oil tamponade has been proven to be a major step forward in vitreoretinal surgery and the reported results speak for themselves. The reader may have the impression that silicone is thought to be indispensible for almost all cases undergoing this type of surgery but this modality is used to treat severe cases where the chances of success are greatly enhanced by using silicone oil. Dr. Zivojnovic remains the forerunner and great surgeon who readily admits the limitations of his techniques: 'The surgical operative treatment is only partly adequate and, unfortunately, despite the correctly performed operation, often does not lead to the desired result'.
List of contents
1: Indications.- 2: Surgical principles.- 3: Instrumentation.- 4: Physical properties of silicone oil.- 5: Surgical techniques.- 5.1 Idiopathic retinal detachment with PVR.- 5.2 Giant tears.- giant tears without PVR.- giant tears with manifested PVR and mobile or immobile retina.- 5.3 Traction detachment with PVR after perforating trauma.- Color Plates 1-4.- traction detachment developed at the time of trauma.- secondary traction detachment in the periphery.- secondary traction detachment after retina incarceration.- secondary traction detachment after double perforation.- giant tears after perforating trauma.- traction detachment due to the subretinal proliferation.- traction detachment with severe damage of the anterior segment.- 5.4 Diabetic traction detachment.- 5.5 Holes in the posterior pole and other indication groups.- macular holes.- traction holes in the posterior pole.- disciform macula degeneration combined with secondary detachment and PVR.- secondary detachment after endophthalmitis.- secondary detachment after acute retinanecrosis.- secondary detachment after chronic uveitis.- ROP.- Color Plates 5-7.- 6: Peroperative complications.- retina incarceration.- haemorrhages.- tears.- previous buckle.- silicone behind the retina.- Optical troubles.- 7: Postoperative course I.- 7.1 Early postoperative complications.- fibrin reaction.- endophthalmitis.- haemorrhages.- increase of IOP.- silicone oil in the anterior chamber.- 7.2 Late postoperative complications.- corneopathy.- cataract.- emulsification.- glaucoma.- 8: Postoperative course II.- 8.1 Persistence of PVR.- 8.2 Operating under silicone.- 8.3 Evacuation of the silicone.- Color Plates 8-12.- 9: Results.- Conclusion.
Report
"Anybody interested in modern vitreoretinal surgery should read this book. While the emphasis is on the use of liquid silicone oil, the surgical principles hold true for most vitreoretinal cases. ...an appreciation of the creative genius of Zivojnovic." (Retina, 8:3, 1988)
