Skip to main content
SpringerLink
Log in

25-Gauge Macular Surgery: Principles and Instrumentations

  • Chapter
Vitreo-retinal Surgery

Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

  • 981 Accesses

  • Transconjunctival sutureless 25-gauge vitrectomy has demonstrated favorable anatomic results and long-term stable visual rehabilitation with minimal surgically induced complications in a variety of vitreoretinal pathologies.

  • This system is especially useful for macular surgery without complicated and peripheral pathology.

  • Recent developments of a variety of 25-gauge instruments and endoillumination devices make macular surgery much easier and faster to perform using the 25-gauge system.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Fujii GY, de Juan E Jr, Humayun MS et al (2002) A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery. Ophthalmology 109:1807–1812

    Article  PubMed  Google Scholar 

  2. Fujii GY, de Juan E Jr, Humayun M Set al (2002) Initial experience using the transconjunctival sutureless vitrectomy system for vitreoretinal surgery. Ophthalmology 109:1814–1820

    Article  PubMed  Google Scholar 

  3. Lakhanpal RR, Humayun MS, de Juan E Jr et al. (2005) Outcomes of 140 consecutive cases of 25-gauge transconjunctival surgery for posterior segment disease. Ophthalmology 112:817–824

    Article  PubMed  Google Scholar 

  4. Ibarra MS, Hermel M, Prenner JL, Hassan TS (2005) Longer-term outcomes of transconjunctival sutureless 25-gauge vitrectomy. Am J Ophthalmol 139:831–836

    Article  PubMed  Google Scholar 

  5. Oshima Y, Ohji M, Tano Y (2006) Surgical outcomes of 25-gauge transconjunctival vitrectomy combined with cataract surgery for vitreoretinal diseases. Ann Acad Med Singapore 35:175–180

    PubMed  Google Scholar 

  6. Yanyali A, Celik E, Horozoglu F, Nohutcu AF (2005) Corneal topographic changes after transconjunctival (25-gauge) sutureless vitrectomy. Am J Ophthalmol 140:939–941

    Article  PubMed  Google Scholar 

  7. Kadonosono K, Yamakawa T, Uchio E et al (2006) Comparison of visual function after epiretinal membrane removal by 20-gauge and 25-gauge vitrectomy. Am J Ophthalmol 142:513–515

    Article  PubMed  Google Scholar 

  8. Yamanishi S, Oshima Y, Emi K, Motokura M (2000) Optical cross-sectional evaluation of successfully repaired idiopathic macular holes by retinal thickness analyzer. Retina 20:450–458

    Article  PubMed  CAS  Google Scholar 

  9. Lopez-Guajardo L, Pareja-Esteban J, Teus-Guezala MA (2006) Oblique sclerotomy technique for prevention of incompetent wound closure in transconjunctival 25-gauge vitrectomy. Am J Ophthalmol 141:1154–1156

    Article  PubMed  Google Scholar 

  10. Eckardt C (2005) Transconjunctival sutureless 23-gauge vitrectomy. Retina 25:208–211

    Article  PubMed  Google Scholar 

  11. Oshima Y, Ikuno Y, Motokura M et al. (1998) Complete epiretinal membrane separation in highly myopic eyes with retinal detachment resulting from a macular hole. Am J Ophthalmol 126:669–676

    Article  PubMed  CAS  Google Scholar 

  12. de Bustros S, Thompson JT, Michels RG et al (1988) Nuclear sclerosis after vitrectomy for idiopathic epiretinal membranes. Am J Ophthalmol 105:160–164

    PubMed  Google Scholar 

  13. Thompson JT, Glaser BM, Sjaarda RN, Murphy RP (1995) Progression of nuclear sclerosis and long-term visual results of vitrectomy with transforming growth factor beta-2 for macular holes. Am J Ophthalmol 119:48–54

    PubMed  CAS  Google Scholar 

  14. Saito Y, Lewis JM, Park I et al (1999) Nonvitrectomizing vitreous surgery: a strategy to prevent postoperative nuclear sclerosis. Ophthalmology 106:1541–1545

    Article  PubMed  CAS  Google Scholar 

  15. Sawa M, Saito Y, Hayashi A, et al (2001) Assessment of nuclear sclerosis after nonvitrectomizing vitreous surgery. Am J Ophthalmol 132:356–362

    Article  PubMed  CAS  Google Scholar 

  16. Sawa M, Ohji M, Kusaka S et al (2005) Nonvitrectomizing vitreous surgery for epiretinal membrane long-term follow-up. Ophthalmology 112:1402–1408

    Article  PubMed  Google Scholar 

  17. Oshima Y, Awh C, Tano Y (2007) Self-retaining 27-gauge transconjunctival chandelier endoillumination for panoramic viewing during vitreous surgery. Am J Ophthalmol 143:166–167

    Article  PubMed  Google Scholar 

  18. Brooks HL Jr (2000) Macular hole surgery with and without internal limiting membrane peeling. Ophthalmology 107:1939–1948

    Article  PubMed  Google Scholar 

  19. Kadonosono K, Itoh N, Uchio E et al (2000) Staining of internal limiting membrane in macular hole surgery. Arch Ophthalmol 118:1116–1118

    PubMed  CAS  Google Scholar 

  20. Kusaka S, Hayashi N, Ohji M et al (2001) Indocyanine green facilitates removal of epiretinal and internal limiting membranes in myopic eyes with retinal detachment. Am J Ophthalmol 131:388–390

    Article  PubMed  CAS  Google Scholar 

  21. Ikuno Y, Sayanagi K, Ohji M et al (2004) Vitrectomy and internal limiting membrane peeling for myopic foveoschisis. Am J Ophthalmol 137:719–724

    Article  PubMed  Google Scholar 

  22. Ikuno Y, Tano Y (2006) Vitrectomy for macular holes associated with myopic foveoschisis. Am J Ophthalmol 141:774–776

    Article  PubMed  Google Scholar 

  23. Haritoglou C, Gandorfer A, Gass CA et al (2002) Indocyanine green-assisted peeling of the internal limiting membrane in macular hole surgery affects visual outcome: a clinicopathologic correlation. Am J Ophthalmol 134:836–841

    Article  PubMed  Google Scholar 

  24. Ando F, Sasano K, Suzuki F, Ohba N (2004) Indocyanine green-assisted ILM peeling in macular hole surgery revisited. Am J Ophthalmol 138:886–887

    Article  PubMed  CAS  Google Scholar 

  25. Haritoglou C, Eibl K, Schaumberger M et al (2004) Functional outcome after trypan blue-assisted vitrectomy for macular pucker: A prospective, randomized, comparative trial. Am J Ophthalmol 138:1–5

    Article  PubMed  Google Scholar 

  26. Bennett SR, Folk JC, Blodi CF, Klugman M (1990) Factors prognostic of visual outcome in patients with subretinal hemorrhage. Am J Ophthalmol 109:33–37

    PubMed  CAS  Google Scholar 

  27. Lewis H (1994) Intraoperative fibrinolysis of submacular hemorrhage with tissue plasminogen activator and surgical drainage. Am J Ophthalmol 118:559–568

    PubMed  CAS  Google Scholar 

  28. Kamei M, Tano Y, Maeno T et al (1996) Surgical removal of submacular hemorrhage using tissue plasminogen activator and perfluorocarbon liquid. Am J Ophthalmol 121: 267–275

    PubMed  CAS  Google Scholar 

  29. Shiraga F, Matsuo T, Yokoe S et al (1999) Surgical treatment of submacular hemorrhage associated with idiopathic polypoidal choroidal vasculopathy. Am J Ophthalmol 128:147–154

    Article  PubMed  CAS  Google Scholar 

  30. Ikuno Y, Ohji M, Kusaka S et al (2002) Sutureless contact lens ring system during vitrectomy. Am J Ophthalmol 133:847–848

    Article  PubMed  Google Scholar 

  31. Nakata K, Ohji M, Ikuno Y et al (2004) Wide-angle viewing lens for vitrectomy. Am J Ophthalmol 137:760–762

    PubMed  Google Scholar 

  32. Spitznas M (1987) A binocular indirect ophthalmomicroscope (BIOM) for non-contact wide-angle vitreous surgery. Graefes Arch Clin Exp Ophthalmol 225:13–15

    Article  PubMed  CAS  Google Scholar 

  33. Kunimoto DY, Kaiser RS, Willis Eye Research Service (2007) Incidence of endophthalmitis after 25- and 20-gauge vitrectomy. Ophthalmology 114:2133–2137.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ophthalmology, Osaka University Medical School, Osaka, Japan

    Y. Oshima & Y. Tano (Professor of Ophthalmology)

Authors
  1. Y. Oshima
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Y. Tano
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Eye Surgery Clinic, Santa Chiara Hospital, Via Roma, 67, 56100, Pisa, Italy

    Stanislao Rizzo MD (Professor and Chairman of Ophthalmology) (Professor and Chairman of Ophthalmology)

  2. Milano Retina Center, via Pietro Mascagni, 20, 20122, Milano, Italy

    Fabio Patelli MD

  3. University of Toronto, 23 Ivor Rd., North York, Ontario, M4N 2H3, Canada

    David R. Chow MD

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Oshima, Y., Tano, Y. (2009). 25-Gauge Macular Surgery: Principles and Instrumentations. In: Rizzo, S., Patelli, F., Chow, D.R. (eds) Vitreo-retinal Surgery. Essentials in Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68586-9_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-68586-9_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-69461-8

  • Online ISBN: 978-3-540-68586-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation