The Goldschleger Eye Institute, The Sheba Medical Center, Tel Hashomer 52621, Tel Aviv, Israel.
Br J Ophthalmol. 2011 Mar;95(3):318-24. doi: 10.1136/bjo.2009.176495. Epub 2010 Aug 23.
This review presents the evolution of sutureless vitrectomy and describes the minimisation of surgical techniques in the posterior segment, as well as their advantages and disadvantages. Shorter operating time, improvement of patient comfort and faster visual recovery are feasible when using small-diameter sutureless vitrectomy technique and equipment. However, a number of associated problems, such as postsurgical hypotony and endophthalmitis, were noticed initially in higher rates compared to 20-gauge vitreoretinal surgery. The purpose of this review is to summarise the available information on transconjunctival sutureless vitrectomy and evaluate its role in modern vitreous surgery.
这篇综述介绍了无缝线玻璃体切除术的发展,并描述了后节手术技术的最小化,以及它们的优缺点。使用小直径无缝线玻璃体切除术技术和设备可以实现更短的手术时间、提高患者舒适度和更快的视力恢复。然而,与 20 号玻璃体视网膜手术相比,最初发现一些相关问题,如术后低眼压和眼内炎的发生率较高。本综述的目的是总结经结膜无缝线玻璃体切除术的现有信息,并评估其在现代玻璃体手术中的作用。