Minimally Invasive Vitreoretinal Surgery (25G, 27G) with High-speed Vitrectomy Cutter – Case Series

Introduction: The development of vitreoretinal surgery is inseparably linked to the gradual miniaturization and decreasing invasiveness of the procedure. The smallest available systems are 23G, 25G, and 27G, which are referred to as minimally invasive vitreoretinal surgery techniques. This paper pre...

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Main Authors: Krzysztof Broniarek, Katarzyna Michalska-Małecka
Format: Article
Language:English
Published: Termedia Publishing House 2024-05-01
Series:Okulistyka
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Online Access:https://www.ophthalmologypoland.com.pl/Minimally-Invasive-Vitreoretinal-Surgery-25G-27G-with-High-speed-Vitrectomy-Cutter,187939,0,2.html
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author Krzysztof Broniarek
Katarzyna Michalska-Małecka
author_facet Krzysztof Broniarek
Katarzyna Michalska-Małecka
author_sort Krzysztof Broniarek
collection DOAJ
description Introduction: The development of vitreoretinal surgery is inseparably linked to the gradual miniaturization and decreasing invasiveness of the procedure. The smallest available systems are 23G, 25G, and 27G, which are referred to as minimally invasive vitreoretinal surgery techniques. This paper presents the preoperative and postoperative results of three patients undergoing posterior vitrectomy using the 25G or 27G systems with the HIPERVIT probe (Alcon, USA). The effects were retrospectively analyzed in terms of changes in best corrected visual acuity, intraocular pressure, occurrence of complications, and changes in optical coherence tomography images of macular edema. Examinations were performed before and one day, two weeks, three months, and six months after vitrectomy. The potential benefits and drawbacks of using these systems in practice were analyzed. Case report: The analysis concerns the results of the performed posterior vitrectomy procedure in patients with full-thickness macular hole, tractional retinal detachment due to diabetic retinopathy, and vitreomacular traction syndrome. Conclusions: The performed procedures allowed for improvement in both anatomical and functional conditions of the macula. All analyzed patients showed an improvement in visual acuity. None of the analyzed patients required the use of scleral sutures. Serious complications were not observed during the surgery or during the 6-month observation period. 25G and 27G HYPERVIT vitrectomy can be successfully used in the discussed vitreoretinal diseases. In the discussed cases, it enabled the effective and safe performance of the procedure. Conclusions
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spelling doaj-art-647ae4f75ce44b6b9feb19731c4b78fe2025-01-24T12:39:59ZengTermedia Publishing HouseOkulistyka1505-27531689-362X2024-05-01271293210.5114/oku/187939187939Minimally Invasive Vitreoretinal Surgery (25G, 27G) with High-speed Vitrectomy Cutter – Case SeriesKrzysztof Broniarek0Katarzyna Michalska-Małecka1Department of Ophthalmology Medical University of Gdańsk Head: Professor Katarzyna Michalska-Małecka, MD, PhDDepartment of Ophthalmology Medical University of Gdańsk Head: Professor Katarzyna Michalska-Małecka, MD, PhDIntroduction: The development of vitreoretinal surgery is inseparably linked to the gradual miniaturization and decreasing invasiveness of the procedure. The smallest available systems are 23G, 25G, and 27G, which are referred to as minimally invasive vitreoretinal surgery techniques. This paper presents the preoperative and postoperative results of three patients undergoing posterior vitrectomy using the 25G or 27G systems with the HIPERVIT probe (Alcon, USA). The effects were retrospectively analyzed in terms of changes in best corrected visual acuity, intraocular pressure, occurrence of complications, and changes in optical coherence tomography images of macular edema. Examinations were performed before and one day, two weeks, three months, and six months after vitrectomy. The potential benefits and drawbacks of using these systems in practice were analyzed. Case report: The analysis concerns the results of the performed posterior vitrectomy procedure in patients with full-thickness macular hole, tractional retinal detachment due to diabetic retinopathy, and vitreomacular traction syndrome. Conclusions: The performed procedures allowed for improvement in both anatomical and functional conditions of the macula. All analyzed patients showed an improvement in visual acuity. None of the analyzed patients required the use of scleral sutures. Serious complications were not observed during the surgery or during the 6-month observation period. 25G and 27G HYPERVIT vitrectomy can be successfully used in the discussed vitreoretinal diseases. In the discussed cases, it enabled the effective and safe performance of the procedure. Conclusionshttps://www.ophthalmologypoland.com.pl/Minimally-Invasive-Vitreoretinal-Surgery-25G-27G-with-High-speed-Vitrectomy-Cutter,187939,0,2.htmlmicroincision vitrectomy surgery (mivs)vitrectomy (ppv)ophthalmologyretina
spellingShingle Krzysztof Broniarek
Katarzyna Michalska-Małecka
Minimally Invasive Vitreoretinal Surgery (25G, 27G) with High-speed Vitrectomy Cutter – Case Series
Okulistyka
microincision vitrectomy surgery (mivs)
vitrectomy (ppv)
ophthalmology
retina
title Minimally Invasive Vitreoretinal Surgery (25G, 27G) with High-speed Vitrectomy Cutter – Case Series
title_full Minimally Invasive Vitreoretinal Surgery (25G, 27G) with High-speed Vitrectomy Cutter – Case Series
title_fullStr Minimally Invasive Vitreoretinal Surgery (25G, 27G) with High-speed Vitrectomy Cutter – Case Series
title_full_unstemmed Minimally Invasive Vitreoretinal Surgery (25G, 27G) with High-speed Vitrectomy Cutter – Case Series
title_short Minimally Invasive Vitreoretinal Surgery (25G, 27G) with High-speed Vitrectomy Cutter – Case Series
title_sort minimally invasive vitreoretinal surgery 25g 27g with high speed vitrectomy cutter case series
topic microincision vitrectomy surgery (mivs)
vitrectomy (ppv)
ophthalmology
retina
url https://www.ophthalmologypoland.com.pl/Minimally-Invasive-Vitreoretinal-Surgery-25G-27G-with-High-speed-Vitrectomy-Cutter,187939,0,2.html
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