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Transconjunctival sutureless 23-gauge vitrectomy for diabetic retinopathy. Review
José G Arumí1, Anna Boixadera, Vicente Martínez-Castillo
1Department of Ophthalmology, Instituto de Microcirugía Ocular, Barcelona, Spain. 17215jga@comb.es
Abstract:
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.
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