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Comparison of Clinical Outcomes of 25 and 23 Gauge Vitrectomy for PDR

Poster Mehmet Onen Purpose: To compare anatomical and functional outcomes of 25 gauge and 23 gauge transconjunctival sutureless vitrectomy (TSV) for treatment of proliferative diabetic retinopathy (PDR). Methods: Retrospective review of 81 consecutive eyes from 81 patients undergoing 25 gauge and 23 gauge TSV with a minimum of 6-month follow-up (vitreous hemorrhage (VH), n=51; tractional retinal detachment (TRD), n=30). Vitrectomy was...

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23 Gauge Pars Plana Vitrectomy in Patients with Rhegmatogenous Retinal Detachment and Choroidal Detachment

Purpose: To share the problems of 23g PPV for patients with retinal detachment and choroidal detachment. Material & Methods: Seven patients with retina and choroidal detachment were included in this study. Preoperative and other routine eye examination [BCVA, biomicroscopy, intraocular pressure, fundoscopy, A-B scan ultrasonography if needed] were recorded. The surgical findings and complications were recorded [infusion cannula...

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23 Gauge Probe Surgery in Severe Proliferative Diabetic Retinopathy

Technological advances in 23 gauge probe design and vitrectomy machines, allowed the use of the probe to perform many intraoperative techniques and manipulations during complex diabetic vitrectomy. The aim of this work is to describe techniques for using the 23 gauge vitrectomy probe to manage complex diabetic vitrectomy. 120 eyes with severe complications of proliferative diabetic retinopathy were included in this work. They include cases...

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Fashioned Instruments for 23 Gauge Vitrectomy

We have to perform our surgical techniques with utmost efficacy, widest safety margin, and least cost. Some instruments can be fashioned oneself in a way that achieves all targets of 23 gauge vitrectomy: 1. Intravitreal triamcinolone acetonide cannula 2. Heavy liquid (PFC) cannula 3. 23 gauge needle pick 4. Silicone oil cannula 5. Non-bent 23 gauge needle for ILM flap creation. By being able to fashion some simple instruments one can t...

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A Piece of Steel Removed by 23 Gauge Vitrectomy

An intraocular foreign body (IOFB) must be excluded in all cases of eye perforation. An IOFB may traumatize the eye mechanically, introduce infection or cause other toxic effects (i.e.: siderosis) on the intraocular structures. Once in the eye, the foreign body may lodge in any of the structures (in the antherior chamber, in the angle, in the lens, in the vitreous or on the retina).Some of them are inert but an intraocular ferrous foreign...

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Curses and Misfortune of 23 Gauge Vitrectomy

Setting: Vitreoretinal department, clinique Sourdille, Nantes, France Purpose: Although transconjunctical sutureless vitrectomy is a major step forward in vitreoretinal surgery when compared to 20 gauge vitrectomy, it has its own set of complications and shortcomings. We present in this film a series of complications we could record during the last five years. Methods: We selected an anthology of complications and shortcomings specific...

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