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New PDF release: Age-Related Macular Degeneration: Current Treatment Concepts

By Florian Schütt MD, Frank G. Holz MD (auth.), Winfried E. Alberti MD, Gisbert Richard MD, Robert H. Sagerman MD, FACR (eds.)

ISBN-10: 3642564399

ISBN-13: 9783642564390

ISBN-10: 3642630715

ISBN-13: 9783642630712

Age-related macular degeneration (ARMD) is a common sickness of the aged and the commonest reason behind blindness. in the past decade a number of healing techniques were constructed and made to be had for medical use. learn effects are maturing, yet up to now the reader has needed to trawl the numerous journals of ophthalmology and radiotherapy to procure appropriate info. This publication is designed to rectify this case via supplying a complete record at the present kinds of therapy for ARMD. After an introductory part at the analysis and contours of ARMD, person chapters written via the world over famous specialists record intimately the medical basics of radiotherapy and ophthalmic surgical procedure, the remedy recommendations, capability side-effects, and end result. numerous overseas learn teams record the result of medical learn, focussing at the effectiveness of either radiotherapy and surgical procedure. exact radiotherapy techiques comparable to proton beam treatment and brachytherapy are defined, and their advantages and downsides mentioned. This specified booklet might be of tremendous worth to all with curiosity in ARMD.

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With the usual upright postoperative head positioning, the weight of the subretinal fluid in a partially air-filled eye pulls the retina downwards. This probably contributes to the greater downward displacement of the fovea during inferior translocation and reduces the upward displacement of the fovea during superior translocation. For this reason, we currently perform inferior limited macular translocation for the vast majority of eyes undergoing macular translocation surgery and rarely perform superior limited macular translocation, except for the very occasional case in which the CNV is markedly eccentrically centered inferiorly relative to the fovea.

Then, a small retinotomy is needed in the vicinity of the neovascular lesion, usually temporally to the macula, and balanced salt solution or viscoelastic is injected into the sub retinal space to separate the retina from the underlying tissue, including the CNVM. The CNVM is mobilized and removed using a sub retinal forceps. Endolaser coagulation or endocryocoagulation may be performed at the site of the retinotomy. Finally, fluid is exchanged for air or expansible gas, and the patient is positioned face-down for several days to allow tamponade of the macula by the gas bubble.

B Angiography of CNV scar after laser treatment shows hyperfluorescent leakage temporal to the macula and hyperfluorescent staining of the laser scar. c CNV scar after laser treatment. ICG angiography reveals the large choroidal vessels and hypofluorescent CNV scar. Below the laser scar, hyperfluorescent staining is visible which might represent new occult CNV A. Hassenstein and G. Richard 24 -- . ~ --.. -. ~ . -- - ~ _. ~ . - .. ~- ~ - . -:: .. • oc ~..! :. ~ . ~~- • -_ • Fig, 3,6. Normal OCT.

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Age-Related Macular Degeneration: Current Treatment Concepts by Florian Schütt MD, Frank G. Holz MD (auth.), Winfried E. Alberti MD, Gisbert Richard MD, Robert H. Sagerman MD, FACR (eds.)

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