Andrew Chang - Macular Surgery: Current Practice and Trends

This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd.

The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore

Advances in technology have improved the safety, efficiency, and outcomes of macular surgery. Vitrectomy machines and cutters allow more efficient microincisional surgical approaches with safe removal of vitreous and membranes with ultra-high cutting rates. A wide suite of ergonomic disposable microsurgical instruments is available for surgeons to perform delicate surgical manoeuvres. Dyes identify tissue for accurate removal. Improved visualization during surgery with digital, 3D technology, and data connectivity leads to better surgical control. Intraoperative OCT can permit high-resolution cross-sectional imaging of delicate membranes and structures during surgery. The surgical setting, anesthesia and postoperative care of patients have resulted in more rapid healing and visual rehabilitation. The close relationship of anterior and posterior segment surgery is reflected in modern collaborative efforts with ophthalmic subspecialties.

This book will review the expanded indications for macular surgery, advances in vitrectomy technology including viewing systems, vitreous cutters, vitrectomy machines, and instrumentation. New innovations and techniques including prosthetic vision, gene stem cell therapy, and robotic surgery are promising.

It is personally pleasing that this book is a collaborative effort of retinal specialists from the Asia Pacific region, the United States, and Europe.

We are grateful to the pioneers, colleagues, trainees, and our patients in encouraging vitreoretinal surgery to evolve macular surgery. We hope each chapter of this book would contribute to further innovations in future.