Abstract
Since Dr. de Juan introduced the current concept of transconjunctival sutureless vitrectomy with a trocar-cannula system and small gauge instrumentation, numerous advances in the technologies and techniques have brought about a dramatic change in the landscape of pars plana vitrectomy over the past decade. As a result, transconjunctival microincision vitrectomy (MIVS) using small-gauge (23-, 25-, or 27-gauge) instrumentation has emerged as a global standard surgical style of vitrectomy for treating a variety of vitreoretinal pathologies, with offering numerous benefits over the conventional 20-gauge system including shorter operating time, reduced corneal astigmatism, diminished conjunctival scarring, improved patient comfort, and, in some cases, earlier visual recovery. In the present chapter, several new techniques and technologies including the multi-functionality of high-speed vitrectomy probe, illumination and wide-viewing systems, and special machine settings are described for using much smaller gauge systems for treating challenging cases safer and more efficient.
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Oshima, Y. (2015). Management of Complicated Vitreoretinal Diseases Using Minimally Invasive Vitrectomy Systems. In: Patelli, F., Rizzo, S. (eds) Management of Complicated Vitreoretinal Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-17208-8_14
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DOI: https://doi.org/10.1007/978-3-319-17208-8_14
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-17207-1
Online ISBN: 978-3-319-17208-8
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