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  • Book
    Shohista Saidkasimova, Thomas H. Williamson, editors.
    Summary: This book provides a practical overview of pathology and interventions in the suprachoroidal space of the eye. Concise and well-structured chapters examine anatomy, physiology and pathophysiology, suprachoroidal haemorrhage, choroidal effusions and ocular hypotony management, imaging, suprachoroidal buckling for retinal detachment, drug delivery, suprachoroidal glaucoma devices, subretinal gene therapy and suprachoroidal retinal implant. Suprachoroidal Space Interventions meets the need for a book that improves awareness of established and novel interventions in the suprachoroidal space, particularly as it has been increasingly recognised as a potential space for glaucoma surgery, drug deliveries and retinal surgery. Ophthalmologists and scientists with an interest in glaucoma and retinal surgery will find the book to be an easy to use reference tool for a rapidly developing area of ophthalmology that can be applied in modern clinical practice.

    Contents:
    Intro
    Contents
    Anatomy and Physiology of the Suprachoroidal Space
    Introduction
    Embryogenesis
    Sclera
    Choroid
    Suprachoroid
    Vessels in the Suprachoroid
    Nerves in the Suprachoroid
    Supraciliary Space
    Topographic Anatomy for Interventive Procedures
    Suprachoroidal Space and Uveal Effusion
    Suprachoroid in High Myopia
    Suprachoroidal Changes with Age
    Physiology
    Uveoscleral Outflow
    Fluid Dynamics in the Eye and the Suprachoroidal Space
    Summary
    References
    Imaging the Suprachoroidal Space
    Introduction Methods of Imaging the Suprachoroidal Space
    Contact B-Scan Ultrasonography
    Optical Coherence Tomography
    Evaluation of the Choroid and Ambiguities Introduced by the Suprachoroidea
    Evaluating the Suprachoroidal Space
    Summary
    References
    Suprachoroidal Haemorrhage
    Introduction
    Pathogenesis
    Dynamics of Suprachoroidal Haemorrhage
    Phase 1: Ciliary Artery Rupture
    Phase 2: Dissemination of Blood into the Extravascular Space
    Bruch's Membrane and Sclera
    Scattered Focal Adhesions Between Eye Wall Layers
    Linear Adhesions at Ora Serrata
    Clinical Presentation Investigation: Ultrasound
    Management of SCH
    References
    Choroidal Detachment
    Introduction
    Pathophysiology
    Clinical Findings
    Differential Diagnoses
    Causes
    Inflammatory Causes of Serous Choroidal Detachment
    Hydrostatic Causes of Serous Choroidal Detachment
    Uveal Effusion Syndrome (UES)
    Management
    References
    Suprachoroidal Space and Glaucoma
    Introduction
    Pharmacological Manipulation of the Uveoscleral Outflow
    Prostaglandin Analogues
    Surgical Exploration of Suprachoroidal Space in Glaucoma
    Cyclodialysis Cleft Cyclodialysis as Surgical Treatment
    Glaucoma Implants for Suprachoroidal Space
    SOLX Gold Microshunt
    Cypass Suprachoroidal Microshunt
    Future Suprachoroidal Glaucoma Devices
    iStent Supra
    MINIject
    Summary
    References
    Suprachoroidal Buckling for Peripheral Retinal Breaks
    Introduction
    Suprachoroidal Hydrogel Buckle
    Combining the Best of Both Worlds
    The Rationale of Suprachoroidal Hydrogel Buckle
    Historical Development
    Working in the Suprachoroidal Space
    Milestones in Technical Refinement
    Surgical Technique Two Surgical Approaches to Suprachoroidal Buckling Surgery
    Suprachoroidal Hydrogel Buckle Combined with Vitrectomy
    Suprachoroidal Hydrogel Buckle as a Stand-Alone Procedure
    Catheter or Cannula?
    Catheter
    Olive Tip Cannula
    Laser or Cryo Retinopexy
    Biocompatibility and Resorption Time of the Different Hydrogels
    Complications and the Learning Curve
    Conclusion
    References
    Suprachoroidal Buckling for Myopic Macular Holes
    Introduction
    Surgical Management of MTM
    Suprachoroidal Surgery for MTM
    Pearls and Pitfalls of Suprachoroidal Buckle Surgery
    Conclusion
    Digital Access Springer 2021