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Intro
Preface
Contents
Abbreviations
Part IEssentials for Surgery of the Diabetic Eye
1 Introduction
1.1 Worldwide Facts About Diabetes
1.2 Regional Facts About Diabetes
1.3 The History of Diabetic Vitrectomy
References
2 Anatomical Pathology of Diabetic Retinopathy
2.1 Ischemic Retinopathy
2.2 Anatomical Pathology of a Proliferative Diabetic Retinopathy (PDR)
2.2.1 Formation of Fibrovascular Membranes
2.2.2 Status of the Posterior Hyaloid
2.2.3 Vitreous Hemorrhage
Reference
3 Hot Topics Regarding Vitrectomy for PDR

3.1 Pretreatment or Not-That is the Question
3.2 Complications of No Pretreatment
3.3 Sequential or Combined Phaco-Vitrectomy?
3.4 Immediate Vitrectomy? Yes or No?
3.5 Summary
References
Part IITreatment Planning
4 Surgical Scenarios
Reference
5 Indication and Aim of Vitrectomy of a Diabetic Eye
5.1 Indication and Aim of Vitrectomy
5.2 Do Not Operate on These Patients
6 Treatment Planning
6.1 Preoperative Intravitreal Anti-VEGF and Sequential Phaco/Vitrectomy
6.2 Surgery of Easy Diabetic Vitrectomy

6.3 (Surgical) Difficult Diabetic Vitrectomy Case, Where Retina Already Pretreated with Scatter Laser
6.4 (Surgical) Difficult Diabetic Vitrectomy Case NOT Pretreated with Scatter Laser
Part IIIGeneral Aspects and Surgical Techniques About Anti-VEGF, Laser Photocoagulation and Vitrectomy for Diabetic Retinopathy
7 General Aspects and Surgical Techniques About Anti-VEGF, Laser Photocoagulation and Vitrectomy for Diabetic Retinopathy
7.1 Three Weapons Against Diabetic Retinopathy
7.2 Preoperative Anti-VEGF-Treatment

7.3 Laser Treatment: Laser Indirect Ophthalmoscopy (LIO) and Endolaser
7.4 Cryopexy
7.5 Don't Forget the Fellow Eye
7.6 Two-Step Phaco/Vitrectomy: Phaco + Anti-VEGF-Treatment
7.7 Diabetic Vitrectomy
7.7.1 Monomanual Vitrectomy
7.7.2 Bimanual Vitrectomy
7.8 Take Home Message: Ten Recommendations for VR Surgery of TRD Secondary to Diabetes
References
Part IVSurgery of Easy Diabetic Retinopathy
8 Surgery of Easy Diabetic Vitrectomy
8.1 Anaesthesia for Easy Diabetic Vitrectomy
8.2 Treatment Planning for Easy Diabetic Vitrectomy

8.3 Sequential Phacoemulsification and Anti-VEGF Treatment
8.4 Easy Diabetic Vitrectomy
8.4.1 Introduction
8.4.2 Surgery
8.5 Surgery of Easy Diabetic Vitrectomy Vitrectomy Case with ATTACHED Posterior Hyaloid
8.6 Complications
8.7 FAQ
Part VSurgery of Difficult Diabetic Vitrectomy
9 Instruments and Surgical Techniques for Difficult Diabetic Vitrectomy
9.1 Instruments
9.1.1 Vitreous Cutter
9.1.2 Illumination for Bimanual Vitrectomy
9.1.3 Instruments for Hemostasis
9.1.4 Instruments for Peeling of Fibrovascular Membranes
9.1.5 Dyes

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