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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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Primary Repair of Rhegmatogenous RD Using 25 Gauge Transconjuctival Sutureless Vitrectomy

Poster Younghoon Lee Purpose: To evaluate 25-gauge transconjunctival sutureless vitrectomy for primary repair of rhegmatogenous retinal detachment. Methods: A retrospective, non-comparative interventional case series including 37 consecutive eyes of 37 patients who underwent 25-gauge transconjunctival sutureless vitrectomy to repair primary rhegmatogenous retinal detachment was performed. Variables collected for the study were patient...

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Risk Factors of Iris Posterior Synechiae Formation After 23 G Sutureless Phacovitrectomy

Kuhl Huh, Seong-Woo Kim, Jaeryung Oh (Seoul, South Korea) Advantages: To identify the risk factors of posterior iris synechiae formation after 23G sutureless vitrectomy with clear cornea phacoemulsification and posterior chamber IOL implantation. Methods: Retrospective chart review was performed for patients treated with 23G phacovitrectomy by a single surgeon in a single center between March 2009 and February 2011. Various factors, such as...

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Video – 25g Sutureless Surgery for Macular Pucker

SYMPOSIUM: SUTURELESS VITRECTOMY Moderator: Anne-Catherine Gribomont Tuesday, June 21, 2005   25g sutureless surgery for macular pucker Author: A. Nikolakopoulos, I. Panidou, E. Fantel, E. Psimenidou, A. Vakalis Abstract : Purpose: To present a new system for 25g sutureless vitrectomy using high vacum for a quicker and safer result. Methods: In our clinic in Thessaloniki we are trying to modify our technique for macular surgery by...

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25 Gauge Vitrectomy – An Effective Method for Sutureless Diabetic Vitrectomy

http://www.evrs.eu/medias/2010/videos/AbhijitChattopadhyay_VP6_768K.flv Abhijit Chattopadhyay, Chirag Bhatt, Soumen Mandal, Shubhankarsri Paul (Kolkata, India) Advantages: 25 Gauge sutureless methods allow early ambulation and quick recovery. This system also helps in better maintenance of intra-ocular pressure thus reducing the intra-operative bleeding. The hospital staying time also got reduced remarkably. The lid swelling and...

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25 Gauge Vitrectomy Techniques for Proliferative Diabetic Retinopathy

http://www.evrs.eu/medias/2010/videos/FlorianBalta_VP6_768K.flv Florian Balta (Bucharest, Romania) Advantages: Reduction of the surgically induced trauma to the ocular tissue and reduction of the operative time. Methods: Removal of the membranes in proliferative diabetic retinopathy (PDR) using 25 Gauge instruments: the vitreous cutter is used at 5000 cuts / min (Constellation Alcon) either alone or combined with an intraocular forceps in...

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A 25-Gauge Primary Pars Plana Vitrectomy in the Surgery of Rhegmatogenous Retina Detachment in Pseudophakic Eyes

Author: Sergey D. Stebnev, Vadim S. Stebnev, Samara, Russia Purpose: To study features and outcomes of the treatment of rhegmatogenous retina detachment in pseudophakic eyes with the application of a 25-g primary pars plana vitrectomy. Methods: In all patients we perform a high-speed 25-ga vitrectomy using the apparatuses «HARMONY TOTAL, DORC» and «ACCURUS 800 CS». The outcomes of surgical treatment of 50 randomized patients (21 had a...

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CO-BI-VI Controled Bimanual Vitrectomy

http://www.evrs.eu/medias/2008/congress/CO-BI-VI-Controled-Bimanual-Vitrectomy.flv A.Nikolakopoulos  I.Panidou  E.Fantel  K.Papadopoulou Thessaloniki Greece A new technique using a guided chandelier and a bimanual scleral depressure in order to remove peripheral traction and to imobilize the detached retina, and as a second step fluid air exchange is preformed through the tear and then laser is apllied at the flat under air retina We...

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Intravitreal Avastin and 25 Gauge Vitrectomy in Treating Active Form of Proliferative Diabetic Retinopathy

Bikbov M.M., Altynbaev U.R. Purpose: To study anatomic and functional findings of 25G vitrectomy combined with preoperative intravitreally injected Avastin in patients with active form of proliferative diabetic retinopathy (PDR). Material & Methods: 9 patients (10 eyes) with PDR accompanied with expressed retinal neovascularization were included into investigation. Tractional retinal detachment was found in 8 cases, tractional and...

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A New Indication for 25 Gauge Surgery: Myopic Retinoschisis

http://www.evrs.eu/medias/2008/congress/A-New-Indication-for-25-Gauge-Surgery:-Myopic-Retinoschisis.flv Fantaguzzi P.M, Bendo. E, Corazza. D Advantages: This report presents the effectiveness of 25-gauge Transconjunctival Sutureless Vitrectomy (TSV) for a high myopic foveoschisis Methods: We performed pars plana vitrectomy with the 25-gauge TSV system in 6 patients (7 eyes) with external e/o internal myopic foveoschisis combined with...

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The 25 Gauge Vitrectomy in Malignant Glaucoma Prevention and Treatment

Di Lauro R., Zeppa L., Di Lauro M.T. Advantages: No complications intra-op. as: atalamy, loss vitreous, vitreous moving. No complications post-op reported, except 2 cases of serious detachment of choroid, which resolved spontaneously. Methods: The authors reported the results of the 18 cases of cataract and angle-closed glaucoma, treated with lensectomy and 25 ga pars plana vitrectomy. All eyes were highly hypermetropic. 3 of 18 patients...

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Transconjunctival Approach for the Treatment of Cataract

http://www.evrs.eu/medias/2008/congress/Transconjunctival-Approch-for-the-Treatment-of-Cataract.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy Advantages: To show the use of mini-invasive 25 gauge system in the management of cataract surgery complications. Methods: An anterior approach with 25...

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23 Gauge Phaco-Fragmentations in Vitreoretinal Procedures

http://www.evrs.eu/medias/2008/congress/23-Gauge-Phaco-Fragmentations-in-Vitreoretinal-Procedures.flv Ehab N El Rayes Advantages: To show a new 23gauge fragmatome for use during 23gauge vitrectomy, for managing dropped lens. Methods: 23 g fragmatome was a missing tool in Vitreoretinal procedure. This presentation showes the design of a new 23g fragmatome. The usage and efficacy as well as different indications will be shown during the...

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23 Gauge: Rate of Sclerotomy Closure & Postoperative Hypotony in 600 Cases

http://www.evrs.eu/medias/2008/congress/23-Gauge:-Rate-of-Sclerotomy-Closure-Postoperative-Hypotony-in-600-Cases.flv Grazia Pertile, Barbara Parolini Advantages: Performing a complete vitrectomy even in 23 G sutureless transconjunctival approach allow a very low rate of postoperative retinal detachment. At the same time the rate of sclerotomy closure is high and the occurrence of postoperative hypotony is rare. In this paper we report the...

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Mini-Invasive Surgery – Yes; Sutureless – No Thanks!

http://www.evrs.eu/medias/2008/congress/Mini-Invasive-Surgery-Yes:-Sutureless-No-Thanks.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show the effectiveness to use the scleral suture in mini-invaseive 25/23 gauge systems. Methods: Both 25 and 23 gauge trocars are inserted through...

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Mini-Invasive 25-23 Gauge Systems: Expanded Indications

http://www.evrs.eu/medias/2008/congress/Mini-Invasive-25-23-Gauge-Systems:-Expanded-Indications.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show there are no limits in the use of mini-invasive transconjunctival surgery. Methods: Several cases of particular and complex cases are...

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Passive Removal of Silicone Oil with 25-gauge Transconjunctival Sutureless Vitrectomy Instruments

Ziya Kapran, MD (Istanbul, Turkey), Nur Acar, MD (Istanbul, Turkey), Yaprak Banu Unver, MD (Istanbul, Turkey), Tugrul Altan, MD (Istanbul, Turkey), Bulut Ocak, MD (Istanbul, Turkey) PURPOSE: To report a new and simple technique for passive silicone oil removal from pars plana with 25-gauge transconjunctival sutureless vitrectomy instrumentation. METHODS: In this prospective, interventional clinical trial, 48 eyes underwent silicone oil...

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Improved Understanding of TSV-25g Vitrectomy System: Qualitative High Speed Video Analysis of Vitreous Movement around Aperture of Vitreous Cutters

Mark S. Humayun, MD, PhD (Los Angeles, CA),* Octaviano Magalhaes, Jr., MD (Los Angeles, CA),* Charles DeBoer, BS (Los Angeles, CA),* Prashant R. Bhadri, PhD (Los Angeles, CA),* Ralph Kerns, BS (Los Angeles, CA),* Matthew McCormick, (Los Angeles, CA),* Aaron Barnes, MS (Los Angeles, CA),* Lawrence Chong, MD (Los Angeles, CA)* PURPOSE: To study vitreous movement around the aperture of high speed vitreous cutters and to correlate these...

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Fluid Dynamics Among Different 25-gauge Systems: Principles for Use in Vitreoretinal Surgery

http://www.evrs.eu/medias/2006/congress/Fluid-Dynamics-Among-Different-25-gauge-Systems:-Principles-for-Use-in-Vitreoretinal-Surgery.swf http://www.evrs.eu/medias/2006/congress/Fluid-Dynamics-Among-Different-25-gauge-Systems:-Principles-%20for%20Use-in-Vitreoretinal-Surgery.flv Michel Eid Farah, MD, PhD (São Paulo, Brazil), Octaviano Magalhães Jr., MD (São Paulo, Brazil), Mauricio Maia, MD (São Paulo, Brazil), André Maia, MD (São...

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Vitreous Dynamics: The New Solid Development Concept. Vitreous Flow Analysis in 20, 23 and 25 Gauge Cutters

Octaviano Magalhaes, MD (Los Angeles, CA), Lawrence P. Chong, MD (Los Angeles, CA), Charles DeBoer, PhD (Los Angeles, CA), Prashant R. Bhadri, PhD (Los Angeles, CA), Matheus McCormick, BS (Los Angeles, CA), Ralph Kerns, MS (Los Angeles, CA), Aaron Barnes, MS (Los Angeles, CA), Mark S. Humayun, MD, PhD (Los Angeles, CA)* PURPOSE: To evaluate porcine vitreous and Balanced Saline Solution (BSS) flow rates and correlate these flows with...

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Comparison of Visual Recovery Time in Patients Undergoing 20g and 25-gauge Vitreous Surgery

http://www.evrs.eu/medias/2006/congress/Comparison-of-Visual-Recovery-Time-in-Patients-Undergoing-20g and-25-gauge-Vitreous-Surgery.swf Suber S. Huang, MD, MBA (Cleveland, OH),* Mike Ward, MD (Cleveland, Ohio), Mohamed Shaker Alomram, MD (Manama, Bahrain), Llew Rao, MD (Cleveland, OH), Firas Seffo, MD (Cleveland, OH), Karim Jamal, MD (Cleveland, OH) PURPOSE: This study compares the rate of visual recovery in a consecutive case series of...

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Untoward Surgical Events in 25 Gauge Vitreoretinal Surgery

http://www.evrs.eu/medias/2006/congress/Untoward-Surgical-Events-in-25-Gauge-Vitreoretinal-Surgery.swf Saad A Shaikh, MD (Orlando, FL), Son Ho, BS (Tampa, FL), Preston P. Richmond, MD, OD (Orlando, FL), Durham Barnes, MD (Orlando, FL), John C. Olson, MD (Orlando, FL) PURPOSE: What is the incidence of adverse surgical events in eyes undergoing 25 gauge vitreous surgery. METHODS: Retrospective, comparative, case series. A chart review of...

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Use of 25-gauge Pars Plana Vitrectomy Surgery for Primary Repair of Rhegmatogenous Retinal Detachments

http://www.evrs.eu/medias/2006/congress/Use-of-25-gauge-Pars-Plana-Vitrectomy-Surgery-for-Primary-Repair-of-Rhegmatogenous-Retinal-Detachments.swf Amitabh K. Bharadwaj, MD, MSc (Philadelphia, PA), Mariah A. Schumacher, BA (Philadelphia, PA), Michael A. Samuel, MD (Blue Bell, PA), Robert C. Kleiner, MD (North Wales, PA), Carl D. Regillo, MD, FACS (Philadelphia, PA), Carl H. Park, MD (Philadelphia, PA), J. Arch McNamara, MD, FRCS(C)...

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Comparision of Wound Leakage Between Straight and Tunnel Scleral Incisions after 25 Gauge Vitrectomy

Luiz F. Hagemann, MD (Blumenau, Brazil),* Luiz Eduardo de A. Marques, MD (Irvine, CA), Baruch D. Kuppermann, MD, PhD (Irvine, CA)* PURPOSE: To compare wound leakage between tunnel and straight scleral incisions after 25 gauge vitrectomy under progressive intraocular pressure elevation testing. METHODS: Ten enucleated New Zealand White rabbit eyes were used. Vitrectomy was performed using the Accurus®/Alcon 25 gauge system. An infusion...

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Results of Surgical Management of Senile Macular Holes by 25- gauge Trans-conjunctival Sutureless Vitrectomy Compared to Standard Vitrectomy Systems

http://www.evrs.eu/medias/2006/congress/Results-of-Surgical-Management-of-Senile-Macular-Holes-by-25-gauge-Trans-conjunctival-Sutureless-Vitrectomy-Compared-to-Standard-Vitrectomy-Systems.swf http://www.evrs.eu/medias/2006/congress/Results-of-Surgical-Management-of-Senile-Macular-Holes-by-25-gauge-Trans-conjunctival-Sutureless-Vitrectomy-Compared-to-Standard-Vitrectomy-Systems.flv C. Christopher Brown, MD (Cleveland, OH), David G. Miller,...

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25 Gauge Transconjunctival Sutureless Vitrectomy (TSV) for Macular Holes (MH) Repair: How Can We Resolve Technique-related Problems?

Federica Genovesi-Ebert, MD (Pisa, Italy), Stanislao Rizzo, MD (Pisa, Italy), Andrea Vento, MD (Pisa, Italy), Sofia Miniaci, MD (Pisa, Italy), Michele Palla, MD (Pisa, Italy), Claudia Belting, MD (Pisa, Italy) PURPOSE: 25-g sclerotomies may not be airtight if extensive vitrectomy with air-fluid exchanges is required. We treated MH with 25-g TSV using a modified trocars insertions to achieve airtight sclerotomies, and autologous whole blood...

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Multi-gauge Evolution

http://www.evrs.eu/medias/2006/videos/Multi-gauge-Evolution.flv Zoran Tomic, MD (Uppsala, Sweden) SYNOPSIS The film is going to present in a funny way difficulties that VR-surgeon meets using 20-and 25-gauge vitrectomy techniques. It is going to explain several reasons why to choose the 23-gauge as a standard operating technique.

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23-gauge Vitrectomy – Not Too Big, Not Too Small, “Just Right”

http://www.evrs.eu/medias/2006/videos/23-gauge-Vitrectomy-Not-Too-Big,-Not-Too-Small,-Just-%20Right.flv Edgar L. Thomas, MD (Beverly Hills, CA)* SYNOPSIS From the inception of vitrectomy in the early 1970s as a single port multifunctional instrument to 3 port 20-gauge, to 25-gauge and now potentially to 23-gauge, the evolution has taken the first step to larger instrumentation. This video compares the 20-g, 25-g and 23-g insertion and...

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25 Gauge Transconjunctival Sutureless Vitrectomy (TSV) for the Treatment of Myopic Macular Holes (MH) Complicated by Retinal Detachment (RD)

http://www.evrs.eu/medias/2006/videos/25-Gauge-Transconjunctival-Sutureless-Vitrectomy-(TSV)-for-the-Treatment-of-Myopic-Macular-Holes-(MH)-Complicated-by-Retinal-Detachment-(RD).flv Stanislao Rizzo, MD (Pisa, Italy), Federica Genovesi-Ebert, MD (Pisa, Italy), Michele Palla, MD (Pisa, Italy) SYNOPSIS 25-g TSV allows a faster patient’s recovery but sclerotomies can leak. We treat a myopic MH with RD where extensive vitrectomy with gas...

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A Head-to-Head Intraoperative Clinical Comparison of Flow Rates: Electric vs. Pneumatic 25-Gauge High-speed Vitreous Cutters

Tarek S. Hassan, MD (Royal Oak, MI),* Mandar Joshi, MD (Royal Oak, MI), Tamer Fahmy Eliwa, MD (Royal Oak, MI) PURPOSE:: To directly compare the intraoperative flow rates of the leading high-speed 25-gauge vitreous cutters – an electrically-driven vitreous cutter versus a pneumatically-driven vitreous cutter – simultaneously evaluated in the same patients undergoing vitrectomy for standard surgical indications. METHODS: Ten eyes...

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Combined 25g Vitrectomy + Sheathatomy + ILM Peeling + Phacoemulsification + IOL Implantation for the Treatment ofBranch Retinal Vein Occlusion

Murat Oncel, MD (Istanbul, Turkey) SYNOPSIS This film demonstrates the use of the transcon-junctival sutureless 25-gauge vitrectomy system combining with clear corneal phacoemulsification and posterior chamber intraocular lens implantation. Sheathotomy was performed either using a special knife or nitinol flexiable extandible pick with trypan blue-assisted peeling of the internal limiting membrane in branch retinal vein occlusion. Pre- and...

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Silicone Oil Surgery With 25-gauge Transconjunctival Sutureless Vitrectomy: It is Not a Dream Anymore!

http://www.evrs.eu/medias/2006/videos/Silicone-Oil-Surgery-With-25-gauge-Transconjunctival-Sutureless-Vitrectomy:-It-is-Not-a-Dream-Anymore.flv Ziya Kapran, MD (Istanbul, Turkey), Nur Acar, MD (Istanbul, Turkey), Yaprak Banu Unver, (Istanbul, Turkey), Tugrul Altan, (Istanbul, Turkey), Bulut Ocak, (Istanbul, Turkey) SYNOPSIS Silicone oil removal and injection techniques with 25g TSV instruments are shown. In the passive technique, only 1000...

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A New Step in Sutureless Vitrectomy Technique

http://www.evrs.eu/medias/2006/videos/A-New-Step-in-Sutureless-Vitrectomy-Technique.flv Jean-Pierre Hubschman, MD (Saint Jean De Luz, France) SYNOPSIS The latest sutureless vitrectomy 23 and 25 gauge techniques help decrease the surgical traumatism and improve the post op comfort. Unfortunately, both trans-conjunctival systems do not have only positive aspects. A new sutureless vitrectomy technique has been developed combining the...

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Complications of 25-Gauge Vitrectomy Surgery

http://www.evrs.eu/medias/2006/congress/Complications-of-25-Gauge-Vitrectomy-Surgery.swf Robert A. Mittra, MD (Minneapolis, MN), David F. Williams, MD, MBA (Minneapolis, MN), Edwin H. Ryan, MD (Minneapolis, MN) PURPOSE: To assess the incidence of major complications of 25-gauge vitreous surgery. METHODS: The records of all eyes undergoing 25g vitrectomy for ERM, vitreous opacity, and MH from 6/03–12/05 were retrospectively reviewed. Data...

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25 Gauge Vitrectomy: Outcomes and Complications

http://www.evrs.eu/medias/2006/congress/25-Gauge-Vitrectomy:-Outcomes-and-Complications.swf Carl D. Regillo, MD, FACS (Philadelphia, PA),* Omesh Gupta, MD (Philadelphia, PA), Allen C. Ho, MD (Wyndmoor, PA), Richard S. Kaiser, MD (Wyndmoor, PA), Mitchell S. Fineman, MD (Cherry Hill, NJ), James F. Vander, MD (Wyndmoor, PA), J. Arch McNamara, MD, FRCS(C) (Wyndmoor, PA) PURPOSE: To report surgical outcomes and both intraand postoperative...

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Outcomes of 25 Gauge Transconjonctival Membrane Peeling Combined with Sutureless Phaco/IOL Surgery

http://www.evrs.eu/medias/2006/congress/Outcomes-of-25-Gauge-Transconjonctival-Membrane-Peeling-Combined-with-Sutureless-Phaco-IOL-Surgery.swf http://www.evrs.eu/medias/2006/congress/Outcomes-of-25-Gauge-Transconjonctival-Membrane-Peeling-Combined-with-Sutureless-Phaco-IOL-Surgery.flv Jean-Paul Berrod, MD (Nancy, France), Isabelle Hubert, MD (Nancy, France), Angélique Poirson, resident (Nancy, France), Marie-Christine Bazard, MD (Nancy,...

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Beveled Cannula Placement for 23 and 25 Gauge Vitrectomy

http://www.evrs.eu/medias/2006/videos/Beveled-Cannula-Placement-for-23-and-25-Gauge-Vitrectomy.flv Robert L. Avery, MD (Santa Barbara, CA)* SYNOPSIS Beveled entry with 23 and 25 gauge trocar/cannula systems for vitrectomy are demonstrated. The entry is rapid and does not require specialized instru-ments. This simple modification of the introduction of the cannula allows for a self-sealing wound – thereby poten-tially lowering the risk of...

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25 Gauge Macular Surgery: Results and Complications

http://www.evrs.eu/medias/2006/videos/25-Gauge-Macular-Surgery:-Results-and-Complications.flv Fabio Patelli, MD (Milan, Italy), Paolo Radice, MD (Rome, Italy), Giulio Zumbo, MD (Rome, Italy), Giuseppe Fasolino, MD (Rome, Italy) PURPOSE: To report the safety and surgical outcome of 25-gauge transconjunctival sutureless vitrectomy (TSV) for macular pathologies. METHODS: 160 eyes of 150 patients underwent 25-gauge TSV for different macular...

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Pars Plana Vitrectomy Using a 25-gauge System in Patients with Proliferative Diabetic Retinopathy

John P. Denny, MD (Decatur, GA), G. Baker Hubbard, MD (Atlanta, GA) PURPOSE: Pars plana vitrectomy (PPV) is commonly performed to treat the ocular complictations of proliferative diabetic retinopathy (PDR). Recently, 25-gauge systems for PPV have been reported to decrease postoperative recovery time. This study investigates the safety and efficacy of PPV performed via a 25-gauge trocar system in a group of patients with proliferative...

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Video Endoscopy of 25-gauge Pars Plana Vitrectomy Demonstrating Trocar and Various Gauge Needle Insertions and Removals

http://www.evrs.eu/medias/2006/videos/Video-Endoscopy-of-25-gauge-Pars-Plana-Vitrectomy-Demonstrating-Trocar-and-Various-Gauge-Needle-Insertions-and-Removals.flv John O. Mason, III, MD (Birmingham, AL), Peter A. Nixon, MD (Birmingham, AL), Michael A. Albert, MD (Birmingham, AL) SYNOPSIS Endoscopic views of 25-gauge vitrectomies showing what transpires when patients undergo insertion and removal of a 25-gauge trocar. Insertion, intraocular...

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Diabetic Traction Detachment Treated with Bimanual 25g Sutureless Surgery (Is Silicon Oil Necessary?)

Athanasios Nikolakopoulos, MD (Thessaloniki, Greece), Ifigenia Panidou (Thessaloniki, Greece), Elie Fantel (Thessaloniki, Greece), Apostolos Reptsis (Thessaloniki, Greece), Dimitris Kirodimos (Thessaloniki, Greece), Nikoletta Leventi (Thessaloniki, Greece) PURPOSE: Traction diabetic retina detachments and especially the table tops with the attached vitreous have the higher incidence of iatrogenic retina tears that reduce the rate of success...

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25 Gauge Vitrectomy for Advanced Proliferative Diabetic Retinopathy: A Consecutive Case Series Including Complex Retinal Detachments

http://www.evrs.eu/medias/2006/congress/25-Gauge-Vitrectomy-for-Advanced-Proliferative-Diabetic-Retinopathy:-A-Consecutive-Case-Series-Including-Complex-Retinal-Detachments.swf Firas M. Rahhal, MD (Los Angeles, CA)* PURPOSE: The author hypothesizes that with recent advances in technology, instrumentation, and experience, 25g pars plana vitrectomy (PPV) is safe and effective for the treatment of both simple and complex cases of advanced PDR....

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Peeping GRIN

http://www.evrs.eu/medias/2006/videos/Peeping-GRIN.flv Frank H.J. Koch, MD (Frankfurt am Main, Germany), Pankaj Singh, MD (Frankfurt am Main, Germany) SYNOPSIS Once upon a time all retina specialists had agreed in a 19/20 gauge PPV standard. One day, techno-logical progress had driven some of the experts to declare a smaller gauge (25/23) PPV to be a new standard. Smaller was considered to be faster, safer, less traumatic and certainly...

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Beveled Cannula Placement for 23 and 25 Gauge Vitrectomy

Beveled Cannula Placement for 23 and 25 Gauge Vitrectomy

Robert L. Avery, MD (Santa Barbara, CA) SYNOPSIS Beveled entry with 23 and 25 gauge trocar/cannula systems for vitrectomy are demonstrated. The entry is rapid and does not require specialized instru-ments. This simple modification of the introduction of the cannula allows for a self-sealing wound – thereby poten-tially lowering the risk of hypotony, wound leak, and endophthalmitis. ...

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Peeping GRIN

Peeping GRIN

Frank H.J. Koch, MD (Frankfurt am Main, Germany), Pankaj Singh, MD (Frankfurt am Main, Germany) SYNOPSIS Once upon a time all retina specialists had agreed in a 19/20 gauge PPV standard. One day, techno-logical progress had driven some of the experts to declare a smaller gauge (25/23) PPV to be a new standard. Smaller was considered to be faster, safer, less traumatic and certainly better looking – from outside. No opening of the...

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Sub Retinal Injection of Bevacizumab (Avastin) in Treating Neovascular Age Related Macular Degeneration, 25 Gauge Approach

http://www.evrs.eu/medias/2006/congress/Sub-Retinal-Injection-of-Bevacizumab-(Avastin)-in-Treating-Neovascular-Age-Related-Macular-Degeneration,-25-Gauge-Approach.swf http://www.evrs.eu/medias/2006/congress/Sub-Retinal-Injection-of-Bevacizumab-(Avastin)-in-Treating-Neovascular-Age-Related-Macular-Degeneration,-25-Gauge-Approach.flv Ehab N. El-Rayes, MD (Cairo, Egypt) PURPOSE: Experimental studies have demonstrated that vascular endothelial...

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Multi-Gauge Evolution

Multi-Gauge Evolution

Zoran Tomic, MD (Uppsala, Sweden) SYNOPSIS The film is going to present in a funny way difficulties that VR-surgeon meets using 20-and 25-gauge vitrectomy techniques. It is going to explain several reasons why to choose the 23-gauge as a standard operating technique. ...

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25-gauge Vitrectomy Management of Severe Post-cataract Surgery Endophthalmitis

Flavio A. Rezende, MD, PhD (Rio de Janeiro, Brazil), Simone Alcântara, MD (Rio de Janeiro, Brazil), Luiz Gustavo T. Regis, MD (Rio de Janeiro, Brazil), Mônica Kickinger, MD (Rio de Janeiro, Brazil) PURPOSE: To report the preliminary results of 25-gauge transconjunctival sutureless vitrectomy (TSV-25) for the management of sereve post-cataract surgery endophthalmitis. METHODS: We conducted a prospective consecutive noncomparative study of...

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Outcomes of 25-gauge Transconjunctival Sutureless Vitrectomy

Nur Acar, MD (Istanbul, Turkey), Ziya Kapran, MD (Istanbul, Turkey), Yaprak Banu Unver, MD (Istanbul, Turkey), Tugrul Altan, MD (Istanbul, Turkey), Sezin Ozdogan, MD (Istanbul, Turkey) PURPOSE: To evaluate the safety and efficacy of 25-gauge transconjunctival sutureless vitrectomy (TSV) for the treatment of a variety of vitreoretinal diseases. METHODS: In this retrospective, interventional clinical trial, 64 consecutive eyes that underwent...

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25-Gauge Vitrectomy for Vitreoretinal Diseases

25-Gauge Vitrectomy for Vitreoretinal Diseases

Fabio Patelli, MD (Rome, Italy), Paolo Radice, MD (Rome, Italy), Giulio Zumbo, MD (Rome, Italy), Giuseppe Fasolino, MD (Rome, Italy) SYNOPSIS This video will evaluate the usefulness and safety of 25-gauge transconjunctival vitrectomy for different vitreoretinal diseases. ...

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Sutureless 25g and 23g Vitrectomy Under Topical Anaesthesia

Ioannis P. Theocharis, MD (Athens, Attica, Greece), Zoran Tomic, MD (Uppsala, Sweden), Anastassia Alexandridou, MD, PhD (Athens, Greece) PURPOSE: To evaluate the safety and patients’ tolerance to topical anaesthesia in vitreoretinal surgery. METHODS: 38 (n=38) patients (group A) were operated with 25g (n=25) and 23g (n=13) vitrectomy under topical anaesthesia with 2% lidocaine gel, for various vitreoretinal diseases (macula holes,...

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Decompression Retinopathy Post-25-gauge Transconjunctival Sutureless Vitrectomy

Flavio A Rezende, MD, PhD (Rio de Janeiro, Brazil), Luiz Gustavo T. Regis, MD (Rio de Janeiro, Brazil), Mônica Kickinger, MD (Rio de Janeiro, Brazil), Simone Alcântara, MD (Rio de Janeiro, Brazil) PURPOSE: To report 2 cases of ocular decompression retinopathy after 25-gauge transconjunctival sutureless vitrectomy (TSV-25) for retained lens fragments after complicated phacoemulsification. METHODS: We present case reports of 2 patients...

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25g Sutureless Surgery and Silicone Oil Injection

Athanasios Nikolakopoulos, MD (Thessaloniki, Greece), Ifigenia Panidou, (Thessaloniki, Greece), Elie Fantel, (Thessaloniki, Greece), Konstantinos Skamnos, (Thessaloniki, Greece), Dimitrios Kurodimos, (Thessaloniki, Greece), Nikoletta Leventi, (Thessaloniki, Greece) PURPOSE: Until now 25g sutureless surgery had limitations, due to instruments small lumen and flexibility. With the new instrumentation we present our technique of injecting...

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Retrospective Review of 25 Gauge Vitrectomy Surgery

David S. Dyer, MD (Kansas City, MO),* Brandon L. Davis, MD (Kansas City, KS), Blake A. Cooper, MD (Kansas City, MO),* Gregory M. Fox, MD (Kansas City, MO)* PURPOSE: To review post-operative examinations and complications of 25g vitrectomies. METHODS: A retrospective review of visual acuity, IOP and complications of 25 g vitrectomies performed on 610 eyes by 3 retina specialists. Snellen visual acuity (VA) and IOP were recorded for pre-op,...

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A New Step in Sutureless Vitrectomy

Jean-Pierre Hubschman, (Saint Jean De Luz, France) PURPOSE: The latest sutureless vitrectomy 23 and 25 Gauge techniques help decrease the surgical traumatism and improve the post op comfort. Unfortunately, both transconjonctival systems do not have only positive aspects. A new sutureless vitrectomy technique has been developped combining the main advantages of both 23 and 25G techniques. METHODS: This technique uses a new pack including 23...

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“Trimming” Technique for Advance Proliferative Diabetic Retinopathy

Arturo Santos, MD, PhD (Guadalajara, Mexico), Enrique A. Roig-Melo, MD PhD (Guadalajara, Mexico), Miguel Castellanos, MD (Guadalajara, Mexico), Iban Flores, MD (Guadalajara, Mexico), Ramon Flores-Fuentes, MD (Guadalajara, Mexico), Monica A. Ayala, MD (Guadalajara, Mexico) SYNOPSIS Performing surgery in a case of diabetic retinopathy with extensive fibrovascular tissue is a challenge and demands surgical skills and a wide variety of...

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Combined Sutureless Cataract and Vitreous Surgery

Márcio Nehemy, MD, PhD, Erika Magalhães, MD, PhD, Patricia Nehemy, MD Modern surgical techniques allow these combined procedures to be performed safely. The benefits of this procedure include faster vision recovery, less inflammatory reaction, preservation of the conjunctiva and better post-operative comfort.

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25g Vitrectomy with Topical Anaesthesia

I. P. Theocharis, Z. Tomic, A. Alexandridou, N. J. Gilli Purpose: To evaluate the safety and patients’ tolerance to topical anaesthesia in vitreoretinal surgery in selected cases, including combined phaco-vitrectomy procedures, macula surgery and cases of complicated cataract surgery as well. Methods: Twelve (12) patients were operated with 25g vitrectomy under topical anaesthesia with 2% unpreserved xylocaine gel for various...

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Our Experience with New Techniques in Macular Surgery: 25G and 23G

http://www.evrs.eu/medias/2005/congress/Our-Experience-with-New-Techniques-in-Macular-Surgery:-25G-and-23G.swf http://www.evrs.eu/medias/2005/congress/Our-Experience-with-New-Techniques-in-Macular-Surgery:-25G-and-23G.flv Zoran Tomic, Nasser Jadidi Gili, Ioannis Theocharis Purpose: To report on our results using two new sutureless surgical techniques in the treatment of macular disorders. Methods: Retrospective study on 43 consecutive eyes...

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Outcomes Following 25-Gauge Vitrectomies for Primarily Macular Diseases

Colin A. McCannel, Lisa J. Faia, R. Mark Hatfield, Jose S. Pulido, McKinzie Hatfield, Vicky McNulty Purpose: To describe and quantify the outcomes seen following 25-gauge vitrectomy surgery for several different pre-operative indications, especially concerning rate of cataract formation in the operated eye. Methods: Retrospective review of 25-gauge vitrectomy surgeries performed between January 2002 through August 2004 with a minimum of 3...

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Short Term Functional and Anatomic Changes after 25G Vitreoretinal Surgery for Epiretinal Macular Membranes (ERM)

F. Boscia, C. Furino, N. Cardascia, L. Sborgia, N. Recchimurzo, C. Sborgia Purpose: To evaluate immediate and short term functional and anatomic changes of using the 25-gauge pars plana vitrectomy (25G-PPV) for epiretinal macular membranes (ERM). Methods: Prospective study of a consecutive interventional case series. Ten eyes of 10 phakic patients with idiopathic ERM and clear media underwent 25G-PPV and ERM removal with indocyanine-green...

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25G Vitrectomy for Epiretinal Membranes (ERM) and Vitreo-Macular Traction Syndromes: Short-Term Results

A. C. Gribomont, J. Delescaille Purpose: To evaluate the safety and efficacy of the 25G transconjunctival vitrectomy in the treatment of epimacular membranes and vitreo-macular traction syndromes. Methods: In this prospective study dealing with a consecutive series of 38 eyes with an epimacular membrane or a vitreo-macular traction syndrome, either idiopathic or secondary, we recorded the visual acuity and intraocular pressure the day...

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25g Sutureless Surgery for Macular Pucker

http://www.evrs.eu/medias/2005/congress/25g-Sutureless-Surgery-for-Macular-Pucker.swf A. Nikolakopoulos, I. Panidou, E. Fantel, E. Psimenidou, A. Vakalis Purpose: To present a new system for 25g sutureless vitrectomy using high vacum for a quicker and safer result. Methods: In our clinic in Thessaloniki we are trying to modify our technique for macular surgery by using 25g instruments-pressurized infusion and high vacum to facilitate quick...

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