TITLE

Combination 20 and 23-gauge transconjunctival vitrectomy: A new approach

AUTHOR(S)
Kumar, Atul; Kakkar, Aashish; Jindal, Shveta; Rajesh, R.
PUB. DATE
December 2009
SOURCE
Indian Journal of Ophthalmology;Dec2009, Vol. 57 Issue 6, p459
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The advent of smaller gauge instrumentation allows for minimally invasive vitreoretinal surgery (MIVS) as compared to conventional pars plana vitrectomy. Sutureless posterior segment surgery has the advantages of faster wound healing, minimal surgical trauma, decreased convalescence period besides reduced postoperative astigmatism; however, slower gel removal and limited peripheral vitreous dissection are disadvantages with smaller gauge systems. We herein describe a new technique combining 23-gauge and 20-gauge vitrectomy to improve the effectiveness and outcomes of vitreoretinal surgery.
ACCESSION #
45024464

 

Related Articles

  • Recent Advances In Surgical Instrumentation. Charles, Steve // Review of Ophthalmology;Sep2004, Vol. 11 Issue 9, special section p30 

    Discusses advances in instrumentation in the field of vitreoretinal surgery. Vitreous cutters; Sutureless, trans-conjunctivial surgery; Cutting rates and fluidics; Small-gauge vitrectomy.

  • 25 gauge vitrectomy under topical anesthesia: a pilot study. Raju, Biju; Raju, N. S. D.; Raju, Anju S. // Indian Journal of Ophthalmology;Sep2006, Vol. 54 Issue 3, p185 

    Aims: To evaluate the safety and efficacy of transconjunctival 25 gauge vitrectomy under topical anesthesia.Settings and Design: A pilot study of consecutive cases which underwent 25 gauge vitrectomy under topical anesthesia.Materials and Methods: Seven...

  • 23 Gauge: The Further Evolution of Vitrectomy. Tewari, Asheesh; Shah, Gaurav K. // Review of Ophthalmology;Aug2006, Vol. 13 Issue 8, p76 

    The article discusses the principles and techniques of the 23 gauge transconjunctival sutureless vitrectomy in vitreoretinal surgery. Twenty-three gauge transconjunctival sutureless vitrectomy allows greater eye rotation and the ability to perform a more complete vitrectomy, by providing more...

  • Small-Gauge Vitrectomy: The Future Is Now. Roe, Richard H.; Fu, Arthur D. // Review of Ophthalmology;Jun2007 Part 1 of 2, Vol. 14 Issue 6, p86 

    The article focuses on the significance of small-gauge vitrectomy surgery, an endoscopy-based procedure, in the U.S. The procedure involves the use of sutureless infusion cannulas and larger incisions for instruments in retinal pathology. Robert Machemer, the inventor of the procedure, believed...

  • 25-Gauge PPV Infection Rates Higher than 20-Gauge.  // Review of Ophthalmology;Feb2008, Vol. 15 Issue 2, p79 

    The article discusses the study which examines the rate of endophthalmitis after pars plana vitrectomy (PPV). It cites that patients who have received treatment with vancomycin and ceftazidime have been studied by analyzing their clinical features and visual acuity outcomes. It is found that the...

  • Bilateral Giant Retinal Tear Following Posterior Chamber Phakic Intraocular Lens Implantation. Navarro, Rafael; Gris, Oscar; Broc, Laura; Corc√≥stegui, Borja // Journal of Refractive Surgery;May2005, Vol. 21 Issue 3, p298 

    PURPOSE: To report a case of bilateral giant retinal tear following posterior chamber phakic intraocular lens (PIOL) implantation. METHODS: A patient with an ocular history of retinal detachment associated with giant retinal tear 4 months after a bilateral PIOL implantation was referred with a...

  • Clinical findings in a choroideremia patient who underwent vitrectomy for retinal detachment associated with macular hole. Shinoda, Hajime; Koto, Takashi; Fujiki, Keiko; Murakami, Akira; Tsubota, Kazuo; Ozawa, Yoko // Japanese Journal of Ophthalmology;Mar2011, Vol. 55 Issue 2, p169 

    The article describes the case of an adult man who underwent vitrectomy for retinal detachment associated with macular hole. The patient reported impaired visual acuity due to choroideremia. Optical coherence tomography confirmed the condition of the patient. His diagnosis also revealed advanced...

  • Clinico-microbiological profile and visual outcomes of post-traumatic endophthalmitis at a tertiary eye care center in South India. Vedantham, Vasumathy; Nirmalan, Praveen; Ramasamy, Kim; Prakash, Karthik; Namperumalsamy, Perumalsamy; Nirmalan, Praveen K // Indian Journal of Ophthalmology;Mar2006, Vol. 54 Issue 1, p5 

    Purpose: To analyze the clinical and microbiological characteristics of eyes with post-traumatic endophthalmitis and factors influencing the visual outcomes in these cases.Methods: We performed a retrospective chart analysis of the clinical and microbiological data of...

  • Functional and anatomical outcomes after primary lens-sparing pars plana vitrectomy for Stage 4 retinopathy of prematurity. Bhende, Pramod; Gopal, Lingam; Sharma, Tarun; Verma, Aditya; Biswas, Rupak Kanti // Indian Journal of Ophthalmology;Sep2009, Vol. 57 Issue 4, p267 

    Background: While lens-sacrificing vitrectomy is the standard approach to manage Stage 5 retinopathy of prematurity (ROP), scleral buckling has been used to manage some cases of Stage 4. Lens-sparing vitrectomy was popularized by Maguire and Trese in selected cases of Stage 4 disease. Purpose:...

  • The State of Small-Gauge, Sutureless Vitrectomy.  // Review of Ophthalmology;Aug2008 Part 1 of 2, Vol. 15 Issue 8, p34 

    The article focuses on the views of several experienced retinal surgeons on the small-gauge debate and the direction they think vitrectomy is headed in the U.S. According to Carl Regillo of Wills Eye Hospital, there is a continued trend toward smaller incision vitrectomy. Memphis,...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics