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Table of Contents
Preface: Read me First ; Acknowledgment; Abbreviations and Glossary; Contents; Part I: Becoming a VR Surgeon; Introduction; 1: Should You Become a VR Surgeon?; 2: How to Train as a VR Surgeon Outside a Formal Fellowship; 2.1 The "To-Do" List ; 2.2 A Word of Caution; Part II: VR Surgery: Basic Principles; Introduction; 3: Fundamental Rules for the VR Surgeon; 3.1 Plan (Not Trial and Error) ; 3.2 Control (as Opposed to Playing Russian Roulette) ; 3.3 Do Not Try to Adapt the Eye to Your Own Preferences; 3.4 The "What, When, How - and Why" Questions
3.5 Don't Start What You Cannot Finish3.6 Common Sense vs Dogma; 3.7 Maximal Concentration During the Entire Operation; 3.8 Make Life as Easy for Yourself as Possible; 3.9 Under Peer Pressure: To Yield or Not to Yield; 3.10 Referral of the Patient; 3.11 The Rest of the Eyeball...; 4: Frequently Asked Questions About the Basics of VR Surgery; 4.1 What If the Surgeon Has Tremor?; 4.2 How Important Is Good Dexterity?; 4.3 Mono- or Bimanual Surgery Is Preferable?; 4.4 Which Gauge? ; 4.5 Combined Surgery or Cataract Surgery Separately?
4.6 Is It Acceptable That Financial Decisions Override the Medical Ones?4.7 How Much Confidence in Himself Should the VR Surgeon Have?; 4.8 How Long Do Vitrectomies Take?; 4.9 Was Surgery Successful?; 5: The VR Surgeon's Relation to His Patient: Counseling; 5.1 The "Target" of Counseling; 5.2 The Patient Does Not Know Most of What Is so Obvious to the Surgeon; 5.3 Communicating with the Patient; 5.4 Coaching vs Trying to Be Objective; 5.5 The Ultimate Treatment Decision: "Whose Eye Is It?"; 5.6 Which of the Two Eyes to Operate on First?; 5.7 What if the Eye Has Two Diseases?
5.8 What if the Eye Has Severe Visual Loss and the Chance of Improvement with Another Surgery Is Low?5.9 Empathy: The Single Most Important Component of Counseling; 5.10 The Prognosis with the Chosen Surgical Option; 5.11 If the Patient Chooses to Undergo Surgery; 5.12 The Benefits of Proper Counseling; 5.13 To Say It or to Keep Quiet ; 5.14 The Dogmas; 6: The VR Surgeon's Relation to His Nurse; 7: Examination; 8: The Indication Whether to Operate; 8.1 The Argument in Favor of Surgery; 8.2 The Argument Against Surgery ; 8.3 The Age of the Patient
8.4 The Condition of the Fellow Eye9: The Indication When to Operate (Timing); 10: The Order of Cases If Multiple Surgeries Are Performed; 11: The Surgeon's Relation to Himself; 11.1 Self-Confidence Versus Overconfidence; 11.2 A Series of "Bad-Luck Cases"; 11.3 Self-Examination; 11.4 My Way; Part III: The VR Surgeon in the OR; Introduction; 12: Major Equipment, Their Accessories and Use; 12.1 The Vitrectomy Machine and Its Components ; 12.1.1 The Pump; 12.1.1.1 Peristaltic Pump: Flow Control; 12.1.1.2 Venturi Pump : Vacuum Control; 12.1.1.3 Combination Pump (e.g., VacuFlow )
3.5 Don't Start What You Cannot Finish3.6 Common Sense vs Dogma; 3.7 Maximal Concentration During the Entire Operation; 3.8 Make Life as Easy for Yourself as Possible; 3.9 Under Peer Pressure: To Yield or Not to Yield; 3.10 Referral of the Patient; 3.11 The Rest of the Eyeball...; 4: Frequently Asked Questions About the Basics of VR Surgery; 4.1 What If the Surgeon Has Tremor?; 4.2 How Important Is Good Dexterity?; 4.3 Mono- or Bimanual Surgery Is Preferable?; 4.4 Which Gauge? ; 4.5 Combined Surgery or Cataract Surgery Separately?
4.6 Is It Acceptable That Financial Decisions Override the Medical Ones?4.7 How Much Confidence in Himself Should the VR Surgeon Have?; 4.8 How Long Do Vitrectomies Take?; 4.9 Was Surgery Successful?; 5: The VR Surgeon's Relation to His Patient: Counseling; 5.1 The "Target" of Counseling; 5.2 The Patient Does Not Know Most of What Is so Obvious to the Surgeon; 5.3 Communicating with the Patient; 5.4 Coaching vs Trying to Be Objective; 5.5 The Ultimate Treatment Decision: "Whose Eye Is It?"; 5.6 Which of the Two Eyes to Operate on First?; 5.7 What if the Eye Has Two Diseases?
5.8 What if the Eye Has Severe Visual Loss and the Chance of Improvement with Another Surgery Is Low?5.9 Empathy: The Single Most Important Component of Counseling; 5.10 The Prognosis with the Chosen Surgical Option; 5.11 If the Patient Chooses to Undergo Surgery; 5.12 The Benefits of Proper Counseling; 5.13 To Say It or to Keep Quiet ; 5.14 The Dogmas; 6: The VR Surgeon's Relation to His Nurse; 7: Examination; 8: The Indication Whether to Operate; 8.1 The Argument in Favor of Surgery; 8.2 The Argument Against Surgery ; 8.3 The Age of the Patient
8.4 The Condition of the Fellow Eye9: The Indication When to Operate (Timing); 10: The Order of Cases If Multiple Surgeries Are Performed; 11: The Surgeon's Relation to Himself; 11.1 Self-Confidence Versus Overconfidence; 11.2 A Series of "Bad-Luck Cases"; 11.3 Self-Examination; 11.4 My Way; Part III: The VR Surgeon in the OR; Introduction; 12: Major Equipment, Their Accessories and Use; 12.1 The Vitrectomy Machine and Its Components ; 12.1.1 The Pump; 12.1.1.1 Peristaltic Pump: Flow Control; 12.1.1.2 Venturi Pump : Vacuum Control; 12.1.1.3 Combination Pump (e.g., VacuFlow )