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Year : 2009  |  Volume : 57  |  Issue : 6  |  Page : 459-461

Combination 20 and 23-gauge transconjunctival vitrectomy: A new approach

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

Correspondence Address:
Atul Kumar
Vitreous-Retina Services, Dr. R. P. Centre, AIIMS, New Delhi -11 00 29
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.57158

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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.

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