20 号和 23 号经结膜巩膜切口玻璃体切除术联合应用：一种新方法。

Combination 20 and 23-gauge transconjunctival vitrectomy: a new approach.

机构信息

Department of Vitreous Retina service, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi-11 00 29, India.

出版信息

Indian J Ophthalmol. 2009 Nov-Dec;57(6):459-61. doi: 10.4103/0301-4738.57158.

DOI:10.4103/0301-4738.57158

PMID:19861749

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2812766/

Abstract

The advent of smaller gauge instrumentation allows for minimally invasive vitreoretinal surgery (MIVS) as compared to conventional pars plana vitrectomy. Sutureless posterior segment surgery has the advantages of faster wound healing, minimal surgical trauma, decreased convalescence period besides reduced postoperative astigmatism; however, slower gel removal and limited peripheral vitreous dissection are disadvantages with smaller gauge systems. We herein describe a new technique combining 23-gauge and 20-gauge vitrectomy to improve the effectiveness and outcomes of vitreoretinal surgery.

摘要

较小规格器械的出现使得与传统经睫状体平坦部玻璃体切除术相比，微创玻璃体视网膜手术（MIVS）成为可能。无缝线后节手术具有更快的伤口愈合、最小的手术创伤、较短的恢复期以及较少的术后散光等优点；然而，与较小规格系统相比，其缺点为较慢的凝胶清除和有限的周边玻璃体切割。在此，我们描述了一种结合 23 号和 20 号玻璃体切割术的新技术，以提高玻璃体视网膜手术的效果和结果。