Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy)Matteo Forlini (Eye Clinic, University of Modena, Italy)


To show the effectiveness and the safety of the 23 gauge system for full macular translocation in age-related macular degeneration.


In a case of pseudophakic exudative macula degeneration a standard three port 23 gauge vitrectomy is performed. The retina is detached by injecting BSS through a 41 gauge needle on a 20 gauge cannula inserted through a 20g sclerotomy. The retina is cut by using a cauhery and a Tano’s scraper. After laser retinopexy, 1000cs silicone oil is used as tamponade.

Effectiveness / Safety:

No intraoperative complications. After silicone oil removal, no complications were observed. The visual acuity did not improve, remaining stable. The case shows how it is possible to use mini-invasive systems also for complex cases of vitreoretinal surgery.