Small gauge vitrectomy: Recent update

Small gauge vitrectomy, also known as minimally invasive vitreous surgery (MIVS), is a classic example of progress in biomedical engineering. Disparity in conjunctival and scleral wound location and reduction in wound diameter are its core principles. Fluidic changes include increased pressure head...

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Main Authors: Sumeet Khanduja, Ashish Kakkar, Saptrishi Majumdar, Rajpal Vohra, Satpal Garg
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Oman Journal of Ophthalmology
Subjects:
Online Access:http://www.ojoonline.org/article.asp?issn=0974-620X;year=2013;volume=6;issue=1;spage=3;epage=11;aulast=Khanduja
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author Sumeet Khanduja
Ashish Kakkar
Saptrishi Majumdar
Rajpal Vohra
Satpal Garg
author_facet Sumeet Khanduja
Ashish Kakkar
Saptrishi Majumdar
Rajpal Vohra
Satpal Garg
author_sort Sumeet Khanduja
collection DOAJ
description Small gauge vitrectomy, also known as minimally invasive vitreous surgery (MIVS), is a classic example of progress in biomedical engineering. Disparity in conjunctival and scleral wound location and reduction in wound diameter are its core principles. Fluidic changes include increased pressure head loss with consequent reduction in infusional flow rate and use of higher aspiration vacuum at the cutter port. Increase An increase in port open/port closed time maintains an adequate rate of vitreous removal. High Intensity Discharge (HID) lamps maintain adequate illumination in spite of a decrease in the number of fiberoptic fibers. The advantages of MIVS are, a shorter surgical time, minimal conjunctival damage, and early postoperative recovery. Most complications are centered on wound stability and risk of postoperative hypotony, endophthalmitis, and port site retinal break formation. MIVS is suited in most cases, however, it can cause dehiscence of recent cataract wounds. Retraction of the infusion cannula in the suprachoroidal space may occur in eyes with scleral thinning. As a lot has been published and discussed about sutureless vitrectomy a review of this subject is necessary. A PubMed search was performed in December 2011 with terms small gauge vitrectomy, 23-gauge vitrectomy, 25-gauge vitrectomy, and 27 gauge vitrectomy, which were revised in August 2012. There were no restrictions on the date of publication but it was restricted to articles in English or other languages, if there abstracts were available in English.
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spelling doaj.art-cd9f0638a4dd4b0081b46c7261a9995c2022-12-21T19:09:49ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2013-01-016131110.4103/0974-620X.111893Small gauge vitrectomy: Recent updateSumeet KhandujaAshish KakkarSaptrishi MajumdarRajpal VohraSatpal GargSmall gauge vitrectomy, also known as minimally invasive vitreous surgery (MIVS), is a classic example of progress in biomedical engineering. Disparity in conjunctival and scleral wound location and reduction in wound diameter are its core principles. Fluidic changes include increased pressure head loss with consequent reduction in infusional flow rate and use of higher aspiration vacuum at the cutter port. Increase An increase in port open/port closed time maintains an adequate rate of vitreous removal. High Intensity Discharge (HID) lamps maintain adequate illumination in spite of a decrease in the number of fiberoptic fibers. The advantages of MIVS are, a shorter surgical time, minimal conjunctival damage, and early postoperative recovery. Most complications are centered on wound stability and risk of postoperative hypotony, endophthalmitis, and port site retinal break formation. MIVS is suited in most cases, however, it can cause dehiscence of recent cataract wounds. Retraction of the infusion cannula in the suprachoroidal space may occur in eyes with scleral thinning. As a lot has been published and discussed about sutureless vitrectomy a review of this subject is necessary. A PubMed search was performed in December 2011 with terms small gauge vitrectomy, 23-gauge vitrectomy, 25-gauge vitrectomy, and 27 gauge vitrectomy, which were revised in August 2012. There were no restrictions on the date of publication but it was restricted to articles in English or other languages, if there abstracts were available in English.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2013;volume=6;issue=1;spage=3;epage=11;aulast=KhandujaPars plana vitrectomysutureless vitrectomyvitreoretinal surgery
spellingShingle Sumeet Khanduja
Ashish Kakkar
Saptrishi Majumdar
Rajpal Vohra
Satpal Garg
Small gauge vitrectomy: Recent update
Oman Journal of Ophthalmology
Pars plana vitrectomy
sutureless vitrectomy
vitreoretinal surgery
title Small gauge vitrectomy: Recent update
title_full Small gauge vitrectomy: Recent update
title_fullStr Small gauge vitrectomy: Recent update
title_full_unstemmed Small gauge vitrectomy: Recent update
title_short Small gauge vitrectomy: Recent update
title_sort small gauge vitrectomy recent update
topic Pars plana vitrectomy
sutureless vitrectomy
vitreoretinal surgery
url http://www.ojoonline.org/article.asp?issn=0974-620X;year=2013;volume=6;issue=1;spage=3;epage=11;aulast=Khanduja
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AT ashishkakkar smallgaugevitrectomyrecentupdate
AT saptrishimajumdar smallgaugevitrectomyrecentupdate
AT rajpalvohra smallgaugevitrectomyrecentupdate
AT satpalgarg smallgaugevitrectomyrecentupdate