Article Abstract

27-gauge vitrectomy—an update on recent surgical outcomes

Authors: Su Daniel, Hubschman Jean-Pierre


The introduction of transconjunctival sutureless microincision vitrectomy surgery (MIVS) with 23- and 25-gauge (23 and 25 G) instrumentation has virtually replaced the more antiquated 20-gauge equivalents, resulting in shorter operation time, reduced post-operative inflammation, less induced corneal astigmatism, and improved patient comfort (1-4). Early concerns with smaller gauge instrumentation, including flimsy instruments and slower vitreous removal have been addressed. Instruments are now stiffer and modern vitrectomy machines are much more efficient with increased cut rate and duty cycle (5).

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