Open AccessCombination 20 and 23-gauge transconjunctival vitrectomy: A new approach
Author(s) -
Atul Kumar,
Aashish Kakkar,
Shveta Jindal,
R Rajesh
Publication year - 2009
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.57158
Subject(s) - medicine , vitrectomy , vitreoretinal surgery , pars plana , convalescence , surgery , ophthalmology , phacoemulsification , astigmatism , dissection (medical) , visual acuity , optics , physics
The advent of smaller gauge instrumentation allows for minimally invasive vitreoretinal surgery (MIVS) as compared to conventional pars plana vitrectomy. Sutureless posterior segment surgery has the advantages of faster wound healing, minimal surgical trauma, decreased convalescence period besides reduced postoperative astigmatism; however, slower gel removal and limited peripheral vitreous dissection are disadvantages with smaller gauge systems. We herein describe a new technique combining 23-gauge and 20-gauge vitrectomy to improve the effectiveness and outcomes of vitreoretinal surgery.