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Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
10.1159/000360447
EISBN: 978-3-318-02661-0
... Abstract Smaller-gauge surgery enables greater precision and offers advantages in decreased surgical time, less tissue manipulation, reduced inflammation, postoperative pain, and more rapid visual recovery. While smaller instruments create smaller incisions that violate the eye less, it can...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
10.1159/000360448
EISBN: 978-3-318-02661-0
... Abstract The development of a 25-gauge vitrectomy system represents a major step forward in vitreoretinal surgery. The main advantages of small-gauge incisions are reduction of surgical time, decreased postoperative inflammation, and fast postoperative recovery time. The use of this technique...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
10.1159/000360449
EISBN: 978-3-318-02661-0
... Abstract Ten years or more have passed since the current concept of 25-gauge transconjunctival sutureless vitrectomy with a trocar-cannula system emerged. There is no doubt that current microincision vitrectomy surgery with 25- or 23-gauge instrumentation has simplified the vitrectomy procedure...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
10.1159/000360456
EISBN: 978-3-318-02661-0
... vitreoretinopathies and anterior proliferation. The recent advent of the 23-gauge endoscope significantly increases the utility of endoscopic vitrectomy, making it a potentially important part of the surgical armamentarium alongside conventional viewing systems. Vitreoretinal diseases requiring surgery...
Book Chapter
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
10.1159/000360471
EISBN: 978-3-318-02661-0
... Abstract Management of posteriorly dislocated crystalline lens has traditionally been performed with a standard 20-gauge vitrectomy system. The latest surgical platforms integrate multiple devices into single systems and feature advanced fluidics, vitreous cutting technology, and intraocular...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
EISBN: 978-3-318-02661-0
...References References 1. Fujii GY, De Juan E Jr, Humayun MS, et al: A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery. Ophthalmology 2002;109:1807-1812. 2. Fujii GY, De Juan E Jr, Humayun MS, et al: Initial experience using the transconjunctival...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
EISBN: 978-3-318-02661-0
...References References 1. Fujii GY, de Juan E Jr, Humayun MS, Pieramici DJ, Chang TS, Awh C, Ng E, Barnes A, Wu SL, Sommerville DN: A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery. Ophthalmology 2002;109:1807-1812. 2. de Juan E Jr, Hickingbotham D...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
EISBN: 978-3-318-02661-0
...References References 1. Machemer R, Buettner H, Norton EW, Parel JM: Vitrectomy: a pars plana approach. Trans Am Acad Ophthalmol Otolaryngol 1971;75:813-820. 2. Fujii GY, De Juan E Jr, Humayun MS, et al: A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
10.1159/000360451
EISBN: 978-3-318-02661-0
.... Robert Machemer, who in 1971 used a 17-gauge sclerotomy port for his first pars plana vitrectomy in a diabetic nonclearing vitreous hemorrhage [ 1 ]. Since then the field has changed dramatically and we have moved from 17-gauge to 20-gauge vitrectomy and more recently in 2002 to microincision vitrectomy...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
EISBN: 978-3-318-02661-0
...References References 1. Fujii GY, et al: A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery. Ophthalmology 2002;109:1807-1812, discussion 1813. 2. Recchia FM, et al: Small-gauge pars plana vitrectomy: a report by the American Academy of Ophthalmology...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
EISBN: 978-3-318-02661-0
... A, Abulon D, Dimalanta R, Buboltz D: Intraocular pressure and BSS flow rates at high vitrectomy probe cut rates (poster). ARVO, Fort Lauderdale, 2012. 9. Rizzo S: Performance of modified vitrectomy probe in small-gauge vitrectomy. Retina Today 2011, pp 40-42. 10. Teixeira A, Chong LP, Matsuoka N...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
EISBN: 978-3-318-02661-0
... MS, Pieramici DJ, Chang TS, Awh C, Ng E, Barnes A, Wu SL, Sommerville DN: A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery. Ophthalmology 2002;109:1807-1812. 6. Eckardt C: Transconjunctival sutureless 23-gauge vitrectomy. Retina 2005;25:208-211. 7. Oshima Y...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
EISBN: 978-3-318-02661-0
...References References 1. Paolini B, Romanelli F, Prigione G, Pertile G: Incidence of endophthalmitis in a large series of 23-gauge and 20-gauge transconjunctival pars plana vitrectomy. Graefes Arch Clin Exp Ophthalamol 2009;247:895-898. 2. Mentens R, Stalmans P: Comparison...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
10.1159/000360444
EISBN: 978-3-318-02661-0
... arguments for this type of surgery to be performed in the office environment, despite the limitations these machines may still have. Since Fujii et al. [ 1 ]first introduced the new concept of transconjunctival sutureless vitrectomy using a trocar technique and 25-gauge instrumentation, the term...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
10.1159/000360443
EISBN: 978-3-318-02661-0
... the traditional 20-gauge system or with microincision 23- or 25-gauge transconjunctival sutureless vitrectomy systems. The special design of the vitreous cutter with increased port area, improved fluidics, and optimized port open time makes the Stellaris PC an efficient system for performing microincision...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
10.1159/000360446
EISBN: 978-3-318-02661-0
... community working in collaboration with engineers developing new systems is the difficulty in moving forward from obsolete, less effective, and potentially higher-risk techniques and parameters. The notion that 20-gauge vitrectomy is the ‘gold standard' and should be used for difficult cases is simply wrong...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
10.1159/000360464
EISBN: 978-3-318-02661-0
... Abstract Small-gauge pars plana vitrectomy has emerged as one of the leading approaches to the management of primary retinal detachment in recent years. Developments in technology and instrumentation have improved this procedure and given surgeons a wide variety of tools to tackle...
Book Chapter
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
10.1159/000360452
EISBN: 978-3-318-02661-0
... Abstract Advances in endoillumination over the last decade have been numerous and were necessary to allow transition to smaller-gauge vitrectomy systems. Advances in light sources and their associated filters have resulted in safer, more powerful light sources that provide enough output...
Book
Book Cover Image
Series: Developments in Ophthalmology
Volume: 54
Published: 27 August 2014
10.1159/isbn.978-3-318-02661-0
EISBN: 978-3-318-02661-0