25-gauge transconjunctival sutureless vitrectomy
25-gauge transconjunctival sutureless vitrectomy
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DOI：
10.1097/icu.0b013e328133889a
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发表时间：
2007-05-01
影响因子：
3.7
通讯作者：
Chen, Eric
中科院分区：
文献类型：
--
作者：
Chen, Eric
综述目的本文对25 G经结膜无缝线玻璃体切割术的历史和发展进行综述。适当的情况下，在玻璃体切除手术的扩大频谱和最近的创新进行了讨论，是长期的结果和可能的complications.Recent findings 25-Gauge睫状体平坦部玻璃体切除术自2002年推出以来，有了显着的发展，与更新的仪器和新技术，扩大了范围，提高了在玻璃体视网膜手术的结果。正确的病例选择是必要的，因为当不需要广泛操作眼内组织或显著的膜剥离时，较小尺寸的器械和减少的射流最有效地工作。独特的并发症25-gauge手术，如低眼压和眼内炎的可能增加率可能与未缝合的巩膜切开术，并在手术方法的修订可能有助于减少这些潜在的破坏性complication.SummaryClinical经验在过去几年中已经证明，这种无缝合系统是安全和有效的。减少手术时间，减少术后炎症，更快的病人恢复都有助于增加接受25号玻璃体切除术的视网膜医生。
Purpose of reviewThe history and development of 25-gauge transconjunctival sutureless vitrectomy are reviewed in this paper. The expanded spectrum of appropriate cases and recent innovations in vitrectomy surgery are discussed, as are longer-term outcomes and possible complications.Recent findings25-Gauge pars plana vitrectomy has evolved significantly since its introduction in 2002, with newer instruments and novel techniques expanding the scope and improving outcomes in vitreoretinal surgery. Proper case selection is imperative, as the smaller scale of the instruments and decreased fluidics work most efficiently when extensive manipulation of intraocular tissue or significant membrane dissection is not required. Unique complications of 25-gauge surgery such as hypotony and a possible increased rate of endophthalmitis may be related to unsutured sclerotomies, and revisions in surgical approach may help to decrease these potentially devastating complications.SummaryClinical experience over the last several years has proven that this sutureless system is both safe and efficacious. Decreased surgical times, reduced postoperative inflammation, and more rapid patient recovery have all contributed to an increased acceptance of 25-gauge vitrectomy by retinal physicians.