Transconjunctival 23-Gauge Vitrectomy

  • C. Eckardt
Part of the Essentials in Ophthalmology book series (ESSENTIALS)
  • 23-gauge transconjunctival vitrectomy was developed to improve on the reported shortcomings of 25-gauge vitrectomy.

  • Every large opening of the conjunctiva and sclera, and every closure with resorbable suture material is associated with greater postoperative inflammation than a single small incision requiring no suture.

  • For patients, the milder inflammatory reaction and absence of astigmatism mean less postoperative irritation and speedier rehabilitation.

  • 23-gauge vitrectomy is suited not only for treatment of surgically less complicated vitreoretinal pathologies, but also for even the surgically most difficult disorders.

  • The indications for 25-gauge vitrectomy, by contrast, are seen by many surgeons in the repair of the less surgically complex vitreoretinal pathologies.

  • The concept of 25-gauge transconjunctival vitrectomy can also be applied with the larger 23-gauge Instrumentarium.

  • The closure achieved by self-sealing sclerotomies is so effective as to practically eliminate the risk of postoperative hypotony.

  • The stability and efficiency of the instruments allows repair not only of macular disorders but also of the surgically most complicated pathologies in all fundus regions.

  • The best possible preservation of the conjunctiva and sclera, beginning with the very first operation, is of inestimable value for all subsequent interventions.

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References

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Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • C. Eckardt
    • 1
  1. 1.AugenklinikStaedtische KlinikenFrankfurtGermany

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