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Small gauge vitrectomy

operative techniques

Pollack, John S.a; Sabherwal, Naryanb

Current Opinion in Ophthalmology: May 2019 - Volume 30 - Issue 3 - p 159–164
doi: 10.1097/ICU.0000000000000568
RETINAL, VITREOUS AND MACULAR DISORDERS: Edited by Brandon G. Busbee and John W. Kitchens

Purpose of review This article reviews operative techniques and risks associated with microincision vitrectomy surgery.

Recent findings All three microincision vitrectomy surgery platforms (23, 25, and 27 gauge) are associated with both advantages and disadvantages, combined with similarly low rates of hypotony, endophthalmitis, corneal astigmatism, and postoperative inflammation.

Summary Hybrid-gauge vitrectomy, utilizing larger gauge MIVS cannulas, preserves surgeon access to benefits of both larger and smaller gauge MIVS platforms without compromising safety, efficacy, or efficiency.

aIllinois Retina Associates, Rush University Medical Center, Joliet

bIllinois Retina Associates, Rush University Medical Center, Chicago, IL USA

Correspondence to John S. Pollack, MD, Illinois Retina Associates, Rush University Medical Center, 300 Barney Dr, Suite D, Joliet, IL 60435, USA. Tel: +1 815 744 7515; fax: +1 815 744 7661; e-mail:

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