小切口玻璃体切除术综述：进展与创新
Review of Small Gauge Vitrectomy: Progress and Innovations.
作者信息
Mohamed Shaheeda, Claes Carl, Tsang Chi Wai
机构信息
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, Kowloon, Hong Kong.
Sint Augustinus Hospital, Wilrijk, Belgium.
出版信息
J Ophthalmol. 2017;2017:6285869. doi: 10.1155/2017/6285869. Epub 2017 May 10.
Abstract
To summarise the surgical advances and evolution of small gauge vitrectomy and discuss its principles and application in modern vitreoretinal surgery. The advent of microincisional vitrectomy systems (MIVS) has created a paradigm shift away from twenty-gauge vitrectomy systems, which have been the gold standard in the surgical management of vitreoretinal diseases for over thirty years. Advances in biomedical engineering and surgical techniques have overcome the technical hurdles of shifting to smaller gauge instrumentation and sutureless surgery, improving surgical capabilities and expanding the indications for MIVS.
摘要
总结小切口玻璃体切除术的手术进展与演变，并探讨其在现代玻璃体视网膜手术中的原理及应用。微切口玻璃体切除系统（MIVS）的出现引发了从20G玻璃体切除系统的范式转变，20G玻璃体切除系统在玻璃体视网膜疾病的手术治疗中作为金标准已超过三十年。生物医学工程和手术技术的进步克服了转向更小切口器械和无缝合手术的技术障碍，提高了手术能力并扩大了MIVS的适应证。
相似文献
1
Review of Small Gauge Vitrectomy: Progress and Innovations.
J Ophthalmol. 2017;2017:6285869. doi: 10.1155/2017/6285869. Epub 2017 May 10.
2
27-Gauge vitrectomy.
Dev Ophthalmol. 2014;54:54-62. doi: 10.1159/000360449. Epub 2014 Aug 26.
3
25-Gauge transconjunctival sutureless vitrectomy.
Curr Opin Ophthalmol. 2007 May;18(3):188-93. doi: 10.1097/ICU.0b013e328133889a.
4
A 27-gauge instrument system for transconjunctival sutureless microincision vitrectomy surgery.
Ophthalmology. 2010 Jan;117(1):93-102.e2. doi: 10.1016/j.ophtha.2009.06.043. Epub 2009 Oct 31.
5
Comparison of 25- and 23-gauge sutureless microincision vitrectomy surgery in the treatment of various vitreoretinal diseases.
Eye (Lond). 2010 May;24(5):869-74. doi: 10.1038/eye.2009.206. Epub 2009 Aug 14.
6
25-Gauge vitrectomy.
Dev Ophthalmol. 2014;54:45-53. doi: 10.1159/000360448. Epub 2014 Aug 26.
7
Outcomes of transconjunctival sutureless 25-gauge vitrectomy with silicone oil infusion.
Retina. 2007 Mar;27(3):296-303. doi: 10.1097/01.iae.0000242761.74813.20.
8
Intraoperative Optical Coherence Tomography-Assisted 27-Gauge Vitrectomy in Eyes with Vitreoretinal Diseases.
Case Rep Ophthalmol. 2015 Jul 7;6(2):216-22. doi: 10.1159/000437014. eCollection 2015 May-Aug.
9
Sutureless vitrectomy: evolution and current practices.
Br J Ophthalmol. 2011 Mar;95(3):318-24. doi: 10.1136/bjo.2009.176495. Epub 2010 Aug 23.
10
Comparison of clear corneal phacoemulsification combined with 25-gauge transconjunctival sutureless vitrectomy and standard 20-gauge vitrectomy for patients with cataract and vitreoretinal diseases.
J Cataract Refract Surg. 2005 Jun;31(6):1198-207. doi: 10.1016/j.jcrs.2004.11.041.
引用本文的文献
1
Trends and Future Projections of Vitreoretinal Surgery in a Tertiary Hospital in China (2005-2022).
Clin Ophthalmol. 2025 Jul 16;19:2363-2371. doi: 10.2147/OPTH.S522293. eCollection 2025.
2
Risk factors for hyphema following pars plana vitrectomy with intravitreal gas injection in vitreoretinal disease.
Int Ophthalmol. 2025 Mar 14;45(1):91. doi: 10.1007/s10792-025-03459-9.
3
Factors regulating the gripping force and stiffness of 25- and 27-gauge internal limiting membrane forceps.
PLoS One. 2024 Nov 5;19(11):e0310419. doi: 10.1371/journal.pone.0310419. eCollection 2024.
4
Incidence and risk factors of perioperative suprachoroidal hemorrhage: A systematic review and meta-analysis.
Surv Ophthalmol. 2025 Jan-Feb;70(1):54-62. doi: 10.1016/j.survophthal.2024.09.009. Epub 2024 Oct 3.
5
Advancements in Therapeutic Approaches for Proliferative Vitreoretinopathy: A Comprehensive Review.
Cureus. 2024 Jul 31;16(7):e65893. doi: 10.7759/cureus.65893. eCollection 2024 Jul.
6
CARING: Cannula for Alleviation of Retinal Injury Caused by Needle Fluidic Gashing.
Bioengineering (Basel). 2024 Jul 15;11(7):718. doi: 10.3390/bioengineering11070718.
7
The Glowport - Illuminated vitrectomy trocar cannulas.
Indian J Ophthalmol. 2025 Jan 1;73(Suppl 1):S169-S171. doi: 10.4103/IJO.IJO_708_24. Epub 2024 Jul 11.
8
Comparison of cognitive workload and surgical outcomes between a three-dimensional and conventional microscope macular hole surgery.
BMC Ophthalmol. 2024 Mar 1;24(1):95. doi: 10.1186/s12886-024-03361-5.
9
Clinical Performance Comparison of Ultrahigh-speed Dual Pneumatic Vitrectomy Probes: Is Faster and Smaller Better?
Korean J Ophthalmol. 2024 Apr;38(2):122-128. doi: 10.3341/kjo.2023.0109. Epub 2024 Feb 14.
10
High-speed Beveled Tip Versus Standard Tip Vitrectomy Probe: A Prospective Randomized Clinical Trial.
J Ophthalmic Vis Res. 2023 Nov 30;18(4):405-409. doi: 10.18502/jovr.v18i4.14552. eCollection 2023 Oct-Dec.
本文引用的文献
1
Delayed sclerotomy wound dehiscence after lensectomy and vitrectomy in Marfan syndrome.
Oman J Ophthalmol. 2015 Sep-Dec;8(3):198-9. doi: 10.4103/0974-620X.169893.
2
Treatment of Dropped Nucleus with a 27-Gauge Twin Duty Cycle Vitreous Cutter.
Case Rep Ophthalmol. 2016 Jan 14;7(1):44-8. doi: 10.1159/000443721. eCollection 2016 Jan-Apr.
3
SMALL-GAUGE VALVED VERSUS NONVALVED CANNULA PARS PLANA VITRECTOMY FOR RETINAL DETACHMENT REPAIR.
Retina. 2016 Apr;36(4):744-9. doi: 10.1097/IAE.0000000000000762.
4
Twenty-seven-gauge vitrectomy for various vitreoretinal diseases.
Retina. 2015 Jun;35(6):1273-8. doi: 10.1097/IAE.0000000000000545.
5
Wide-angle viewing system.
Dev Ophthalmol. 2014;54:87-91. doi: 10.1159/000360453. Epub 2014 Aug 26.
6
Small gauge vitrectomy: Recent update.
Oman J Ophthalmol. 2013 Jan;6(1):3-11. doi: 10.4103/0974-620X.111893.
7
A systematic review of endophthalmitis after microincisional versus 20-gauge vitrectomy.
Ophthalmology. 2013 Nov;120(11):2286-91. doi: 10.1016/j.ophtha.2013.04.010. Epub 2013 Jun 12.
8
Strategy for the management of uncomplicated retinal detachments: the European vitreo-retinal society retinal detachment study report 1.
Ophthalmology. 2013 Sep;120(9):1804-8. doi: 10.1016/j.ophtha.2013.01.070. Epub 2013 Apr 16.
9
360° subconjunctival silicone oil after unsutured 23-gauge vitrectomy.
Eye (Lond). 2013 Jul;27(7):894-5. doi: 10.1038/eye.2013.69. Epub 2013 Apr 19.
10
Influence of the interposition of a nonhollow probe during cannula extraction on sclerotomy vitreous incarceration in sutureless vitrectomy.
Invest Ophthalmol Vis Sci. 2012 Oct 23;53(11):7322-6. doi: 10.1167/iovs.12-10274.
Zotero 插件