Transconjunctival sutureless 23-gauge vitrectomy for diabetic retinopathy. Review.
This paper reviews the current experience and trends in 23-gauge transconjunctival sutureless vitrectomy for diabetic retinopathy in those patients that need a surgical intervention for either vitreous hemorrhage, fibrovascular proliferation with traction retinal detachment affecting or threatening the macula, traction-rhegmatogenous retinal detachment, or refractory macular edema with taut posterior hyaloid. Since the instruments in 23-gauge vitrectomy are less flexible and perform in a more similar way to 20-gauge instruments, the vitrectomy is more thorough and for more complex manoeuvres can be done. The 23-gauge transconjuntival sutureless vitrectomy avoids some of the shortcomings of the 25-gauge systems.
Arumí
José G
JG
Department of Ophthalmology, Instituto de Microcirugía Ocular, Barcelona, Spain. 17215jga@comb.es
Boixadera
Anna
A
Martínez-Castillo
Vicente
V
Corcóstegui
Borja
B
D003930:Diabetic Retinopathy / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008269:Macular Edema / Q000209:etiology / Q000601:surgery*; D008297:Male; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D013537:Sutures; D014821:Vitrectomy / Q000379:methods*