25-Gauge Sutureless Vitrectomy for Diabetic Retinopathy

  • T. S. Hassan
Part of the Essentials in Ophthalmology book series (ESSENTIALS)
  • 25-gauge vitrectomy has emerged as a treatment approach for the following indications:

  • Nonclearing VH,

  • Tractional retinal detachment,

  • Refractory diabetic macular edema,

  • Combined tractional and rhegmatogenous retinal detachment,

  • High risk PDR with anterior segment neovascularization

  • Severe premacular subhyaloid hemorrhage

  • Vitreopapillary traction

  • Ghost-cell glaucoma

  • Vitrectomy has the potential to lead to long-lasting good outcomes for some eyes with refractory CSDME, and should be in the armamentarium of all vitreoretinal surgeons.

  • Proliferative pathology posterior to the equator, with or without tractional retinal detachment, has become significantly easier to approach, and may become another indication for which 25-gauge vitrectomy is the preferred technique as newer peripheral light sources and wide-field viewing systems become more ubiquitously available.

  • The majority of diabetic eyes that require vitrectomy may now be approached with the 25-gauge surgical technique.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • T. S. Hassan
    • 1
  1. 1.Associated Retinal Consultants, PCRoyal OakUSA

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