Introduction In today’s world of nano-technology where bigger no longer means better, everything from smartphones to surgical incisions are getting smaller and more refined. The advantages of smaller surgical incision have resulted in faster postoperative recovery. Vitreoretinal surgery is no exception. We have come a long way since the time of open sky vitrectomy and Machemer’s first 17-gauge ...

BACKGROUND The purpose of this study was to investigate postoperative intraocular pressure (IOP) in cases of silicone oil (SO) removal when using 25-gauge transconjunctival sutureless vitrectomy (TSV) with oblique incisions. METHODS We enrolled ten consecutive eyes with SO removal (SO group) and eleven consecutive eyes with idiopathic epiretinal membrane (ERM) as the initial vitrectomy (ERM g...

OBJECTIVES To evaluate the safety and efficacy of active silicone oil removal with a 23-gauge (G) transconjunctival sutureless system. MATERIALS AND METHODS One hundred sixteen eyes of 113 patients who had previous retinal detachment surgery with pars plana vitrectomy and silicone oil injection surgery, and underwent silicone oil removal surgery with 23-G transconjonctival sutureless techniqu...

Aim. To evaluate the effectiveness of subconjunctivally injected viscoelastic material (VEM) for the self-sealing of leaking sclerotomy in transconjunctival sutureless vitrectomy (TSV). Methods. This was a prospective interventional series. Subconjunctival injection of VEM was performed in eyes showing leaking sclerotomy at the end of TSV in selected cases. This procedure was performed in 24 co...

PURPOSE To evaluate the safety and efficacy of different methods of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders. METHODS A prospective randomized study was done from August 2009 to February 2011. The study included 129 eyes of 122 patients, randomly divided into four groups. Group 1 comprised 34 eyes operated on usin...

INTRODUCTION The purpose of this report is to describe a case of macular hole development after vitrectomy for floaters with induction of posterior vitreous detachment. CASE REPORT A 44-year-old otherwise healthy man presented with visually debilitating floaters in his right eye; these had been present for more than 2 years. Preoperative examination was unremarkable in both eyes, apart from s...

A 83-year-old woman underwent phacoemulsification in the left eye, complicated by posterior capsular rupture and dislocation of nuclear fragments vitreous cavity. She was aphakic referred to Clinica Oculistica, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy. After 2 days, she pars plana vitrectomy, with removal fragments, secondary intraocular lens (IOL) implantation. The used a ...

OBJECTIVE To evaluate the effect of preoperative intravitreal bevacizumab injection on the incidence of postoperative haemorrhage and visual prognosis, in patients undergoing 25-gauge micro incision vitrectomy surgery (MIVS) for diabetic vitreous haemorrhage. METHODS One hundred and twenty two eyes of 122 patients of diabetic retinopathy of both genders and aged over 18 years, who presented w...