Since the introduction of vitrectomy in the 1970s, vitreoretinal
surgery has rapidly developed. Initially, new instrumentations were
created to facilitate intraocular maneuvers and to treat almost all
the vitreoretinal pathologies. High speed vitrectome probs,
forceps, scissors, endolaser probes, and new light sources
(xenon/photon light) permit us to perform safer surgeries.
However, in the last few years the approach to vitreoretinal
surgery has changed with the introduction of small gauge
instruments and sutureless surgery. At present there is still
confusion among vitreoretinal surgeons about the use of 25-, 23- or
20-gauge sutureless systems.
Leading surgeons in the field were recruited to offer their
insights into the sutureless techniques they perform.
Topics dealt with in the book include: - fluidics and technical
characteristics of 23- and 25-gauge systems, - basic vitrectomy
techniques of 23- and 25-gauge systems, - sclerotomy
characteristics of the sutureless approach, - advantages and
disadvantages of the sutureless technique, - vitreoretinal
pathologies treated with 23- and 25-gauge systems, - complications
of the sutureless technique, - current clinical data.
General
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