T he common thinking regarding surgical wounds is that “much smaller is much better.” Based on this concept, microincision vitrectomy surgery (MIVS) with 25or 23-gauge instruments has taken over from conventional 20-gauge vitrectomy in many cases, and the technology has evolved radically during the past several years. Along with the development of ergonomic instrumentation and new-generation vi...

BACKGROUND The purpose of this study was to evaluate the incidence and amount of macular edema by optical coherence tomography (OCT) after combined small gauge sutureless vitrectomy with phacoemulsification and intravitreal triamcinolone. METHODS This retrospective case series included 194 consecutive eyes undergoing nonemergent vitrectomy with phacoemulsification and intravitreal triamcinolo...

Purpose: To compare postoperative anatomical sclerotomy sites of transconjunctival sutureless vitrectomy (TSV) with conventional 20-gauge vitrectomy Methods: In this prospective, nonrandomized study 30 consecutive patients divided in 2 groups: group I, 15 eyes from 15 patients underwent conventional 20-gauge and group II, 15 eyes from 15 patients underwent TSV (23, 25-gauge) pars plana vitrecto...

PURPOSE To evaluate the efficacy and safety of vitreoretinal surgery using a 23-gauge transconjunctival sutureless vitrectomy (TSV) system for various vitreoretinal diseases. METHODS A retrospective, consecutive, interventional case series was performed for 40 eyes of 40 patients. The patients underwent vitreoretinal procedures using the 23-gauge TSV system, including idiopathic epiretinal me...

Results: Th e mean age of the patients was 56.3 years (range: 22-73). Overall, the mean preoperative best-corrected visual acuity was 20/800, and the fi nal mean postoperative best-corrected visual acuity at the 12-month visit was 20/160. Th e overall rate of eyes having an increased best-corrected visual acuity was 75.4% at month 12. Subconjunctival haemorrhage was observed in 7 eyes (13.2%), ...

PURPOSE To evaluate the influence of sclerotomy use during vitrectomy (vitreous cutter, illumination probe, or infusion-line entrance) on postoperative vitreous incarceration using an experimental model of vitrectomized eye. MATERIALS AND METHODS Experimental, randomized, and observer-masked study in which 23-gauge transconjunctival sutureless vitrectomy was performed in cadaveric pig eyes. P...

INTRODUCTION Massive subretinal hemorrhage (SRH) due to polypoidal choroidal vasculopathy (PCV) remains a challenging field and the best treatment is still not certain. In the present study, we performed a novel surgical method which combined 23-gauge vitrectomy with external drainage therapy for displace massive SRH secondary to PCV. METHODS From April 2015 to July 2015, 4 consecutive patien...

S mall-gauge sutureless pars plana vitrectomy reduces postoperative inflammation at the sclerotomy sites in comparison with conventional 20-gauge sutured pars plana vitrectomy, thus decreasing patient discomfort postoperatively and hastening recovery.1-5 Despite the clinical advantages of smaller diameter vitrectomy systems, they pose significant challenges in vitreous removal as they decrease ...