Small-Gauge Approach in Pediatric Vitreoretinal Surgery

  • A. CaponeJr.
Part of the Essentials in Ophthalmology book series (ESSENTIALS)
  • The small-incision approach to vitrectomy is not synonymous with pedriatic vitreoretinal surgery.

  • Selection of appropriate pediatric eyes for a small-incision approach requires careful consideration.

  • It is of primary importance to consider the importance of near-total vitreous removal, the ability to access the peripheral vitreous and vitreoretinal proliferation, and the importance of airtight/watertight wound closure.

  • There are select pediatric vitreoretinal pathologies for which a small-incision vitrectomy approach is a viable consideration


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    Fujii GY, de Juan E, Humayun MS et al (2002) Initial experience using the transconjunctival sutureless vitrectomy system for vitreoretinal surgery. Ophthalmology 109:1814–1820PubMedCrossRefGoogle Scholar
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    Lam DS, Fan DS, Mohamed S et al (2005) 25-gauge transconjunctival sutureless vitrectomy system in the surgical management of children with posterior capsular opacification. Clin Exp Ophthalmol 33(5):495–498CrossRefGoogle Scholar
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    Gonzales CR, Boshra J, Schwartz SD (2006) 25-gauge pars plicata vitrectomy for stage 4 and 5 retinopathy of prematurity. Retina 26(Suppl. 7):S42–S46PubMedCrossRefGoogle Scholar
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    Cacciatori M, Arpa P (2006) Surgical technique for anterior segment surgery in pediatric patients using 25-gauge instruments. J Cataract Refract Surg 32:562–564PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • A. CaponeJr.
    • 1
  1. 1.BirminghamUSA

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