OBJECTIVES To determine whether there was a different response to vitrectomy and tap/biopsy with or without systemic antibiotic treatment in the Endophthalmitis Vitrectomy Study and whether the signs and symptoms of endophthalmitis differ between diabetic and nondiabetic patients. DESIGN A multicenter clinical trial in which patients with acute post-cataract extraction endophthalmitis were ra...

AIM To report our initial experience with lens-sparing vitrectomy for stage 4 retinopathy of prematurity using the 27-gauge (G) system. METHODS This retrospective case series involved nine eyes of five babies with active stage 4 ROP, who underwent 27-G lens-sparing vitrectomy. Surgery was done using 27-G valved cannulas and sclerotomies were made 1.5 mm from the limbus. Bilateral sequential v...

The article presents a literature review regarding the use of silicone oil tamponade (ST) in rhegmatogenous retinal detachment (RRD) treatment. Vitrectomy, which produces stable anatomical result most patients, is currently recognized as one main methods treating RRD. In complicated detachments, vitrectomy followed by ST vitreous cavity (VC). Despite many benefits ST, it carries risk number com...

BACKGROUND It is unclear whether or not an additional encircling band improves outcome in vitrectomy for pseudophakic retinal detachment (PRD). Also unclear is whether small gauge transconjunctival trocar-guided vitrectomy is as successful as conventional 20 gauge (G) vitrectomy. METHODS 257 adult patients with uncomplicated PRD were enrolled in 14 vitreoretinal centres across Germany. Contin...

Dear Editor, Pars plana vitrectomy (PPV) using the 27-gauge transconjunctival approach is the last frontier of small gauge vitrectomy. Only 1 paper has been published so far describing the use of 27-gauge vitrectomy in a limited number of cases, including epiretinal membranes, idiopathic macular holes, diabetic vitreous haemorrhages, a vitreous biopsy for presumed vitreoretinal lymphoma and a f...

Postoperative endophthalmitis is one of the most serious complications after cataract surgery though its frequency may be low. We report a case with post-cataract extraction bacterial endophthalmitis treated favorably by core vitrectomy through pars plana with anterior vitrectomy cutter (A-vit). The patient, a 72-year-old woman, presented with blurred vision 7 days after phacoemulsification and...

MAY/JUNE 2008 I RETINA TODAY I 85 S utureless surgery is a relatively new modality for vitreoretinal surgeons. Wounds that accommodated traditional 20-gauge vitrectomy instrumentation required suture closure. With the introduction of 25-gauge instrumentation, vitreoretinal surgeons gained the ability to leave the smaller incisions unsutured after vitrectomy, reducing intraoperative trauma and p...

PURPOSE To assess the efficacy of early vitrectomy for aggressive posterior retinopathy of prematurity (ROP) to stop progression of retinal detachment. DESIGN Retrospective, noncomparative, consecutive case series. METHODS Twenty-two eyes (15 patients) with aggressive posterior ROP underwent vitrectomy with or without lens sparing, because retinal photocoagulation failed to stop progression...

Purpose To describe a patient with acute central retinal artery occlusion (CRAO) during vitrectomy surgery and the possible role of vitrectomy in acute CRAO management. Observations An 84-year-old man presented with broad vitreomacular traction and epiretinal membrane in the right eye. Preoperative assessment clearly showed normal retinal vasculature. On starting vitrectomy, complete CRAO wit...