BookShohista 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