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Current Clinical Data and Future (for Small-Gauge Vitreoretinal Surgery)

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Vitreo-retinal Surgery

Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

During the last decade, pars plana vitrectomy has been passing through significant changes. Self-sealing sclerotomies with smaller-gauge instruments were first described by Chen et al. [1] in 1996, and the 25-gauge sutureless transconjunctival system for pars pana vitrectomy has been in use since 2002. In 2005, Eckardt [2] introduced the 23-gauge system, which although representing a more challenging technique than 25-gauge has rapidly been used by numerous surgeons. The value of these new technologies is now discussed worldwide, mainly to clarify whether advantages do outweigh disadvantages, and if the gain for the patient is constant and important. As knowledge can only be obtained and conclusion be drawn by looking at scientific data, in this article we summarize the current clinical data of both 25- and 23-gauge literature, and organize them according to the questions and topics mainly debated.

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Authors and Affiliations

  1. Department of Ophthalmology, The Ludwig Boltzmann Institute for Retinology and Biomicroscopic Lasersurgery Rudolf Foundation Clinic, Juchgasse 25, A-1030, Vienna, Austria

    S. Binder, B. Wimpissinger & L. Kellner

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  1. S. Binder
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  3. L. Kellner
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Editors and Affiliations

  1. Eye Surgery Clinic, Santa Chiara Hospital, Via Roma, 67, 56100, Pisa, Italy

    Stanislao Rizzo MD (Professor and Chairman of Ophthalmology) (Professor and Chairman of Ophthalmology)

  2. Milano Retina Center, via Pietro Mascagni, 20, 20122, Milano, Italy

    Fabio Patelli MD

  3. University of Toronto, 23 Ivor Rd., North York, Ontario, M4N 2H3, Canada

    David R. Chow MD

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Binder, S., Wimpissinger, B., Kellner, L. (2009). Current Clinical Data and Future (for Small-Gauge Vitreoretinal Surgery). In: Rizzo, S., Patelli, F., Chow, D.R. (eds) Vitreo-retinal Surgery. Essentials in Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68586-9_25

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