Advanced vitreoretinal surgery

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Minimally Invasive Vitreoretinal Surgery

Pars plana vitrectomy (PPV) was introduced almost 40 years ago. 1 In the 1980s and 1990s, three-port PPV with 20-gauge (G) instruments was the norm. In 2002, 25-gauge transconjunctival sutureless vitrectomy (TSV) was introduced.2,3 This system permits threeport PPV using microcannulas, trocars, and 25-G instrumentation without requiring sutures to close the sclerotomies. Subsequently, a similar...

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Vitreoretinal Surgery Feature Story

MAY/JUNE 2008 I RETINA TODAY I 85 S utureless surgery is a relatively new modality for vitreoretinal surgeons. Wounds that accommodated traditional 20-gauge vitrectomy instrumentation required suture closure. With the introduction of 25-gauge instrumentation, vitreoretinal surgeons gained the ability to leave the smaller incisions unsutured after vitrectomy, reducing intraoperative trauma and p...

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Vitreoretinal surgery: pre-emptive analgesia.

AIM Vitrectomies are performed either under general anesthesia (GA), local anesthesia (LA), or a combination of both. Postoperative pain is expected to be less in patients with LA because of prolonged action of the local anaesthetic. Pre-emptive analgesia is based on the idea that analgesia initiated before a nociceptive event will be more effective than analgesia commenced afterwards. The auth...

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Major challenges in vitreoretinal surgery

Since the first vitrectomy surgery was used for treatment of vitreoretinal diseases, surgical techniques and instrumentation have been rapidly improved in the past decades. However, there are complicated vitreoretinal diseases that cannot be successfully treated, even with state-of-the-art surgeries. The outcomes of some complicated cases are still poor due to different reasons and debates stil...

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Useful adjuncts for vitreoretinal surgery.

Many vitreoretinal procedures are performed in offices and hospitals where cost control is important. We describe three useful devices and techniques that facilitate these procedures at minimal expense and often greater convenience. These include an accurate method for localising the pars plana without the use of callipers, an inexpensive, reliable, pressure regulated air pump for fluid-air exc...

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ژورنال

عنوان ژورنال: Acta Ophthalmologica

سال: 2017

ISSN: 1755-375X

DOI: 10.1111/j.1755-3768.2017.03115