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SHR Neuro Cancer Cardio Lipid Metab Microb

Mennel, S; Bechrakis, NE; Binder, S; Haas, A.
State of the art and future of vitrectomy-techniques and instruments Expert opinion and review of the literature
SPEKTRUM AUGENHEILKD. 2018; 32(1): 3-11. Doi: 10.1007/s00717-017-0367-4 [OPEN ACCESS]
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Co-authors Med Uni Graz: Haas Anton
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Abstract:: Background Due to the introduction of pars plana vitrectomy numerous vitreoretinal pathologies became effectively treatable. Continuous improvement of vitrectomy devices, instruments and additional adjuvants as well as new techniques display the progress in vitreoretinal surgery. Methods In a literature review current techniques of vitrectomy in several vitreoretinal pathologies are analysed. Concerning new developments of surgical techniques, experts on the field were interviewed for their experience and recommendations. Results The classic 20 gauge pars plana vitrecomy has been modified by new small trocar systems (23, 25 and 27 gauge) and corresponding instruments with smaller diameters. In pars plana vitrectomy a sutureless procedure is possible but for security reasons a suture of the wound may be necessary to prevent leackage and hypotony. Visualization of the vitreous is principally ensured by triamcinolone. Staining of epiretinal membranes and of the internal limiting membrane with vital dyes is well established today. However, surgical techniques in the treatment of macular holes and of retinal detachment vary in the current literature and expert opinion. Conclusions Due to past and current developments of pars plana vitrectomy especially in regard of trocar systems, vitreous cutters and wide-angle viewing systems as well as the establishment of new techniques a widespread acceptance for the treatment of numerous vitreoretinal pathologies has emerged. This progress in the treatment of vitreoretinal diseases enables less operative trauma, reduced intraoperative and postoperative complications and enhanced final success. Variable operation procedures, new techniques and development of new devices and instruments are essential for further progress in the future of pars plana vitrectomy.
Find related publications in this database (Keywords): Vitrectomy; Macular hole; Retinal detachment; New instruments; Endoillumination