Hybrid 25- and 27-Gauge Vitrectomy for Complex Vitreoretinal Surgery.
Publication/Presentation Date
4-1-2016
Abstract
BACKGROUND AND OBJECTIVE: The authors report the technique of using the 27-gauge (G) vitreous cutter through 25-G valved cannulas to allow hybrid instrumentation of both gauges.
PATIENTS AND METHODS: Vitrectomy is initiated with standard placement of 25-G valved cannulas, followed by insertion of a 27-G vitreous cutter through the 25-G cannulas.
RESULTS: The hybrid procedure emphasizes the advantages of both platforms: The 25-G cutter is more efficient for core vitrectomy and is more rigid to facilitate peripheral vitrectomy; the 25-G platform enjoys a wider armamentarium of instrumentation options; and the smaller profile of the 27-G cutter can be maneuvered more easily into tight surgical planes to act analogous to vertical scissors, with the added benefits of aspiration and spatula-like features. The authors illustrate this technique in three cases: diabetic tractional retinal detachment with dense plaques, posterior stage 4B retinopathy of prematurity, and sutureless scleral fixation of an intraocular lens.
CONCLUSIONS: Hybrid use of the 25-G and 27-G platforms offers greater versatility for the management of complex vitreoretinal conditions.
Volume
47
Issue
4
First Page
352
Last Page
355
ISSN
2325-8179
Published In/Presented At
Yonekawa, Y., Thanos, A., Abbey, A. M., Thomas, B. J., Todorich, B., Faia, L. J., Williams, G. A., Capone, A., Jr, Wolfe, J. D., & Hassan, T. S. (2016). Hybrid 25- and 27-Gauge Vitrectomy for Complex Vitreoretinal Surgery. Ophthalmic surgery, lasers & imaging retina, 47(4), 352–355. https://doi.org/10.3928/23258160-20160324-08
Disciplines
Medicine and Health Sciences
PubMedID
27065375
Department(s)
Department of Medicine
Document Type
Article