Since publication of the first edition of this book in 2012 vitreoretinal surgery has marched with huge steps forward. In 2012 23G was standard, today 25G and 27G are the most commonly used gauge sizes for vitrectomy. In 2012 the cutting rate was 5.000 cuts/min and today with the development of a novel vitreous cutter the cutting rate has increased to 16.000 cuts/min. The advent of 25G/27G made the instruments smaller and surgery less traumatic. 

Practical Handbook for Small-Gauge Vitrectomy: A Step-By-Step Introduction to Surgical Techniques,2ndEdition focuses on these new developments and features new chapters on PVR detachment, intraocular tumour, macular translocation, sub macular hemorrhages and ocular trauma. The surgeries are demonstrated step-by-step and the material is shown in detail and videos visualize the surgery.This book will serve as an immensely useful guide for all surgeons who are intending to make use of this exciting and increasingly used technique.

Dr. Ulrich Spandau studied medicine, biology and mathematics at the University of Würzburg and subsequently underwent surgical training at the Eye Clinic, Koblenz. In 2006 he became Vice-Director of the Department of Ophthalmology at the University of Mannheim-Heidelberg and now works as a specialist at the Department of Ophthalmology, Uppsala University Hospital (Akademiska sjukhuset). Dr. Spandau has undertaken research in diverse areas of ophthalmology and is the author of some fifty publications.

Professor Heinrich Heimann is a Consultant Ophthalmic Surgeon at the Royal Liverpool University Hospital specialising in Ocular Oncology and Vitreoretinal Surgery. His areas of research interest include Vitreoretinal Surgery and Medical Retina and he has published many articles in peer reviewed journals on these topics. Prof Heimann is a board member of the German Retina Society and regularly presents at local and international congresses.

Introduction to small-gauge vitrectomy.- Equipment.- General considerations and techniques of pars plana vitrectomy.- Special techniques for pars plana vitrectomy.- Conventional vitrectomy with 3-port trocar system.- Bimanual vitrectomy with 4-port trocar system.- Diabetic retinopathy.- Dislocated IOL and dropped nucleus.- Endophthalmitis.- Detachment.- Trauma.- Ocular trauma.- Iris Prosthesis, Special IOLs and Submacular Hemorrhages.- Surgical pearls.- Appendix.