content top

23G Complications Collection

Contact Details: Email: jflerouic@gmail.com Cell Phone: /+33660166157

Read More

Topical Anesthesia in Posterior Vitrectomy with Sutureless Surgery

Hande Etus, Levent Karabas, Gulin Karaaslan, Yusuf Çaglar (Kocaeli, Turkey) Advantages: We initiated this prospective study to determine the safety and efficacy of topical anesthesia and its effect on surgical time in 23 G posterior vitrectomy. Methods: This study was comprised of 67 patients (73 eyes) scheduled for posterior vitrectomy using topical (35 eyes) (group 1) or retrobulbar (38 eyes) (group 2) anesthesia. Subjective pain and...

Read More

Outcomes of Combined 23 Gauge Transconjunctival Sutureless Vitrectomy and Cataract Surgery

Necip Kara, Ahmet Taylan Yazici, Ercument Bozkurt, Mehmet Cakir, Nese Alagoz, Ahmet Demirok, Omer Faruk Yilmaz (Istanbul, Turkey) Advantages: To evaluate the anatomical and functional results of combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery. Methods: This retrospective, consecutive, noncomparative case series was observed to 20 eyes of 20 patients who underwent combined 23-gauge transconjunctival...

Read More

Transconjunctival Sutureless Vitrectomy for the Treatment of Vitreoretinal Complications in Diabetic Patients

Yusuf Akar, K. Cemil Apaydin, Mustafa Unal, Erkan Coban, Koray Demir, Koray Ahat, Meryem Guler, Pinar Tavas (Antalya, Turkey) Advantages: 23 Gauge transconjunctival sutureless vitrectomy appears to be a feasible option in treating vitreoretinal complications in diabetic patients, with the potential benefit of reducing postoperative ocular irritation. Methods: Seventy four eyes of 76 consecutive patients with diabetes mellitus who...

Read More

The Bell Pepper Experiment: Introducing A Novel Self-Sealing “Screwcut” Incision for Sutureless Transconjunctival Vitrectomy

http://www.evrs.eu/medias/2010/videos/LarsOlofHattenbach_VP6_768K.flv Lars-Olof Hattenbach (Ludwigshafen am Rhein, Germany) Flattened sclerotomies are an essential step in ensuring postoperative wound stability in transconjunctival sutureless vitrectomy. However, in complex cases involving complete vitrectomy with shaving of the vitreous base, laser application and peeling of surface membranes, conventional angled incisions often leak at...

Read More

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...

Read More

Small Gauge Vitrectomy (23 & 25 Gauge) with Slit Lamp Illumination

Cian Roberto, Tavolato Marco, Polese Chiara, Galan Alessandro Purpose: To evaluate the safety and efficacy of two port vitrectomy with 23 and 25 gauge for epiretinal membrane Methods: In this single center, retrospective, interventional case series comprised 30 eyes of 30 patients who had two port vitrectomy with slit lamp illumination, 20 with the 25 gauge instrumentation, 10 with the 23 gauge. Cataract surgery was performed at the same...

Read More

Outcomes of Transconjunctival Sutureless 25-23 Gauge Vitectomy with Silicone Oil Infusion

V. Primavera, I. Turco, G. Schiena, F. Prascina , A. Iovine , C. Iaculli , N. Delle Noci Advantages: To evaluate the outcomes and complications of surgical management with 25-23 gauge pars plana vitrectomy (PPV) and silicone oil (SO) tamponade in complex vitreoretinal diseases. Methods: Retrospective review of a consecutive, interventional case series at Department of Ophtalmology University of Foggia, Italy from January 2007 to March...

Read More

Use of a New Type of Micronized Intravitreal Triamcinolone in Sutureless Vitrectomies

Marco Dal Vecchio, Valeria Russo, Sara Tonetti Advantages: IVT Micronized during sutureless vitrectomy allows observing the posterior Hyaloid and the vitreous base. In the video shows the differences between IVT Micronized and traditional Triamncinolone. Methods: The video shows the different uses of IVT micronized and the simultaneous injection of IVT and Triamcinolone. A preliminary report of cases of Sutureless Transconjunctival 25...

Read More

A Novel Releasable Suture Technique for Prevention of Incompetent Wound Closure in Transconjunctival Vitrectomy

Yumi Song, Hee Yoon Cho, Byung Ro Lee In this video, a novel releasable suture technique that helps overcome postoperative incompetent wound closure is performed in small gauge transconjunctival vitrectomy. Postoperatively, at the office, the sutures are released under the slit lamp. Every wound is completely sealed. No eyes show postop hypotony. Our technique, which is simple to perform, can be advantageously applied to any gauge...

Read More

Removal of Silicone Oil with a 23-25 Gauge Sutureless

Schiena G., Primavera V., Turco I., Prascina F., Liotino G., Delle Noci Advantages: With this retrospective study we evaluated efficiency and safety of removal of silicone oil 1000 cs from pars plana with 23-25gauge transconjunctival sutureless system after retinal detachment. Methods: A series of 15 eyes using 23-25gauge sutureless technique was evaluated between January 2007 and February 2008. For the system of infusion we used a tube...

Read More

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...

Read More

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...

Read More

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...

Read More

Untoward Outcomes in 23 Gauge Vitrectomy Surgery

http://www.evrs.eu/medias/2008/congress/Untoward-Outcomes-in-23-Gauge-Vitrectomy-Surgery.flv Zoran Tomic Advantages: Absence of suture-induced astigmatism, more efficient surgery, reduced risk for vitreous incarceration and enhanced postoperative recovery are well known advantages of the transconjunctival sutureless vitrectomy surgery. Thus, recently published results of larger series have demonstrated the high rate of severe operative...

Read More

20 Gauge Transconjunctival, Sutureless Vitrectomy: Technique and Audit of 120 Cases

Zachariah Koshy, JR Murdoch Advantages: 20 gauge instrumentation with the advantages of large bore fluidics, rigidity and range of instruments. Excellent wound closure and post operative tonus. Patient comfort. Time efficient. The results compare very well with conventional 20 gauge vitrectomy and 23/25 gauge vitrectomy. Methods: Description of technique with video and illustrations. Results from audit of 120 consecutive cases...

Read More

Sutureless 20 Gauge Pars Plana Vitrectomy

http://www.evrs.eu/medias/2008/congress/Sutureless-20-Gauge-Pars-Plana-Vitrectomy.flv Stratos V. Gotzaridis Advantages: Sutureless Transconjunctival 20 Gauge Vitrectomy (20G STV) is a modified technique that upgrades the conventional 20 Gauge to a minimal technique. It reduces the operating time and the post operative inflammation. Methods: Conjunctival diathermy over the ports before sclerostomy produced adhesions adequate to stop...

Read More

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...

Read More

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...

Read More

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)...

Read More

The Integrity of Wound Closure after 23 Versus 25 Gauge Sutureless Vitrectomy

Oswaldo Ferreira Moura Brasil, MD (Rio De Janeiro, Brazil),* Rishi P. Singh, MD (Cleveland, OH), Rafael L. Ufret-Vincenty, MD (Cleveland, OH), Hajime Bando, MD (Cleveland, OH), Peter K. Kaiser, MD (Cleveland, OH)* PURPOSE: To evaluate wound healing characteristics and time course after 23 and 25 gauge sutureless cannula systems with either perpendicular or angled incisions by clinical and histopathological outcomes. METHODS: Three-port pars...

Read More

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...

Read More

A New 23 Gauge Vitrectomy System

George A. Williams, MD (Royal Oak, MI)* PURPOSE: A new 23 gauge vitrectomy system based on the Acurus platform has been developed to enhance the advantages of sutureless transconjunctival vitrectomy while minimizing the disadvantages. METHODS: This 23 gauge system employs a single pass, transconjunctival cannula system which creates selfsealing pars plana entry site wounds. The larger instrumentation compared to 25 gauge decreases...

Read More

20-gauge Transconjunctival Pars Plana Vitrectomy

http://www.evrs.eu/medias/2006/videos/20-gauge-Transconjunctival-Pars-Plana-Vitrectomy.flv Rodrigo Jorge, MD, PhD (Ribeirão Preto, Brazil), André V. Gomes, MD (São Paulo, Brazil), Rubens C. Siqueira, MD, PhD (São José Do Rio Preto, Brazil), Rogerio A. Costa, MD, PhD (Araraquara, Brazil), Ingrid U. Scott, MD, MPH (Hershey, PA) SYNOPSIS The video shows a transconjunctival technique for pars plana vitrectomy (PPV) using 20-gauge...

Read More

Reverse Trans-zonular Flow (Re-flow Strategy) in the Treatment of Vitreoretinal Diseases

http://www.evrs.eu/medias/2006/videos/Reverse-Trans-zonular-Flow-(Re-flow-Strategy)-in-the-Treatment-of-Vitreoretinal-Diseases.flv Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy), Stefano Dolce, MD (Ravenna, Italy), Antonio Aversano, MD (Ravenna, Italy), William Gualtieri, MD (Ravenna, Italy) SYNOPSIS Personal technique of one port VPPV for the treatment of vitreoretinal disorders based on the use of the slit lamp,...

Read More

23g Sutureless Vitrectomy: When and Why?

Zoran Tomic, (Uppsala, Sweden), Nasser Jadidi Gili, MD (Uppsala, Sweden), Ioannis P.Theocharis, MD (Athens, Greece) PURPOSE: To refer on suitable indications and applicability of various surgical procedures using a new 23g sutureless vitrectomy technique. METHODS: A consecutive series of 100 operated eyes using 25g sutureless technique were compared with a consecutive series of 100 operated eyes using a new 23g technique regarding...

Read More

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,...

Read More

Arcuate Retinotomy for Large, Failed Macular Holes

Steve T. Charles, MD (Memphis, TN)* SYNOPSIS An initial procedure using 25G PPV, ILM peeling and C3F8 gas failed. A 25G second procedure is the subject of the video. An arcuate retinotomy was made temporal to the macula using 25G Revolution DSP scissors.

Read More

Further Experience with 23-Gauge Transconjunctival Vitrectomy

http://www.evrs.eu/medias/2006/congress/Further-Experience-with-23-Gauge-Transconjunctival-Vitrectomy.swf http://www.evrs.eu/medias/2006/congress/Further-Experience-with-23-Gauge-Transconjunctival-Vitrectomy-1.flv http://www.evrs.eu/medias/2006/congress/Further-Experience-with-23-Gauge-Transconjunctival-Vitrectomy-2.flv http://www.evrs.eu/medias/2006/congress/Further-Experience-with-23-Gauge-Transconjunctival-Vitrectomy-3.flv Claus Eckardt,...

Read More

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...

Read More

23-Gauge Vitrectomy in 100 Eyes: Short-term Visual Outcomes and Complications

Harinderjit Singh, MD (Augusta, Georgia), Dennis M. Marcus, MD (Augusta, GA), Micah Manning, MD (Columbia, SC), Jasleen Singh, BS (Augusta, Georgia) PURPOSE: To report short-term outcomes and complications from the first 100 eyes undergoing 23-gauge transconjunctival sutureless vitrectomy (Dutch Ophthalmics). METHODS: Forty eight females and 52 males, average age of 65 years (range 29-94 years), underwent 23-gauge vitrectomy by two surgeons...

Read More

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.

Read More

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...

Read More

23-Gauge Vitrectomy as an Effective and Safe Alternative for Sutureless Vitreous Surgery

http://www.evrs.eu/medias/2006/congress/23-Gauge-Vitrectomy-as-an-Effective-and-Safe-Alternative-for-Sutureless-Vitreous-Surgery.swf http://www.evrs.eu/medias/2006/congress/23-Gauge-Vitrectomy-as-an-Effective-and-Safe-Alternative-for-Sutureless-Vitreous-Surgery.flv Keith A. Warren, MD (Overland Park, KS) PURPOSE: To evaluate the safety and effectiveness of the 23-gauge vitrectomy system (DORC) as a treatment modality for a variety of...

Read More

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...

Read More

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...

Read More

Extended Use of Small-gauge Vitrectomy: New Insights

Joao Luiz Lobo Ferreira, MD (Florianopolis, Brazil) SYNOPSIS The extended use of small-gauge vitrectomy with the need to convert one of the sclerotomies to 20-gauge has been described for the use of phacofragmentation for dislocated lens into the vitreous (IVDL), removal of intra-ocular foreign body (IOFB), and for silicone oil (SiO) infusion. New techniques for scleral fixation of IOL, phacocrush for removal of IVDL, removal of IOFB –...

Read More

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,...

Read More

25-gauge Vitrectomy (from the Outside…)

Luiz Eduardo de Aguiar Marques, MD (Irvine, CA), Faisal Jehan, MD (Irvine, CA), Bogdan Alexandrescu, MD (Irvine, CA), Baruch D. Kuppermann, MD, PhD (Irvine, CA)* SYNOPSIS We show 25-gauge surgeries with an emphasis on external aspects and our technique of tunnelled incisions. We also demonstrate situations that may occur during surgery (cannulas coming out, suturing…). Internal limiting peeling in a diabetic patient, aqueous...

Read More

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...

Read More

Transconjunctival 20-G Sutureless Vitrectomy

Mikael Sebag, MD (Montreal, Canada), John C. Chen, MD, FRCS(C) (Montreal, Canada) PURPOSE: Can a 20 G vitrectomy transconjunctival technique rival other transconjunctival vitrectomy systems in terms of speed of installation, suture rate and wound adequacy as determined by postoperative intraocular pressure? METHODS: The study was designed as a non-randomized consecutive case series. A total of 162 vitrectomies by one surgeon (M.S.) in a...

Read More

Three-port Bimanual 25-gauge Vitrectomy in Severe Diabetic Traction Retinal Detachment

Nur Acar, MD (Istanbul, Turkey), Ziya Kapran, MD (Istanbul, Turkey), Yaprak Banu Unver (Istanbul, Turkey), Tugrul Altan (Istanbul, Turkey), Bulut Ocak (Istanbul, Turkey) SYNOPSIS In this video, three-port bimanual 25-gauge transconjunctival sutureless vitrectomy (TSV) technique is demonstrated in eyes with severe diabetic traction retinal detachments. 25-gauge illuminated infusion cannula is used for bimanual surgery. Membrane delamination...

Read More

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...

Read More

20 Gauge Sutureless Transconjunctival Vitrectomy

Daniel G. Polya, MBBS, MPH, FRANZCO (Toronto, Canada), David R. Chow, MD, FRCS(C) (Toronto, Canada),* David T. Wong, MD, FRCS(C) (Toronto, Canada), Filiberto Altomare, MD, FRCS(C) (Toronto, Canada), Louis Giavedoni, MD, FRCS(C) (Toronto, Canada), Alan R. Berger, MD, FRCS(C) (Toronto, Canada) PURPOSE: To describe our initial experience with 20 gauge sutureless transconjunctival vitrectomy in a variety of vitreoretinal patients with regard to...

Read More

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...

Read More

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...

Read More

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...

Read More

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. ...

Read More

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...

Read More

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...

Read More

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. ...

Read More

In-office and Bedside Sutureless Vitrectomy for the Diagnosis of Uveitis

http://www.evrs.eu/medias/2006/congress/In-office-and-Bedside-Sutureless-Vitrectomy-for-the-Diagnosis-of-Uveitis.swf Robert G. Josephberg, MD (Yonkers, NY),* Frank HJ Koch, MD (Frankfurt, Germany),* Steven Bodine, MD (Bronxville, NY) PURPOSE: Diagnostic vitrectomy for uveitis may be easily done both at the bedside or in the office with sutureless vitrectomy. The purpose was to show that the results were similar or better then diagnostic...

Read More

Outcomes of 77 Consecutive Cases of 23-gauge Sutureless Transconjunctival Surgery for Posterior Segment Disease

Howard F. Fine, MD (New York, NY), Richard F. Spaide, MD (New York, NY), Reza Iranmanesh, MD (New York, NY), Diana Iturralde, MD (Pamplona, Spain) PURPOSE: Twenty-five gauge vitrectomy systems possess several advantages over 20-g methods including improved wound healing, conjunctival sparing, and patient comfort. Newer 23-g systems were introduced to improve instrument bore size and rigidity while retaining sutureless technique. The...

Read More

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...

Read More

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. ...

Read More

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...

Read More

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...

Read More
content top