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development of surgical treatment for vitreous disease外科治疗玻璃体疾病的发展
Surgical Science, 2012, 3, 507-513
/10.4236/ss.2012.311101 Published Online November 2012 (http://www.SciRP.org/journal/ss)
Development of Surgical Treatment for Vitreous Disease
1 2 2
Tatsuya Mimura , Hidetaka Noma , Hideharu Funatsu
1Department of Ophthalmology, Tokyo Women’s Medical University Medical Center East, Tokyo, Japan
2Department of Ophthalmology, Yachiyo Medical Center, Tokyo Women’s Medical University, Yachiyo, Japan
Email: mimurat-tky@umin.ac.jp
Received September 4, 2012; revised October 3, 2012; accepted October 12, 2012
ABSTRACT
Vitreous surgery has improved remarkably with various advances in surgical instruments and techniques. The two most
important breakthrough in recent years have been the introduction of small-gauge pars plana vitrectomy (PPV) systems
and new illumination devices. Compared with traditional 20-gauge PPV, sutureless small-gauge PPV appears to be
safer, with a shorter operating time, less postoperative inflammation, less patient discomfort, and more rapid recovery
of visual acuity. This article reviews recent progress in the surgical management of vitreous disease with a historical
perspective.
Keywords: Review; Vitrectomy; 25 Gauge
1. Introduction a three-port 20-G canular entry system in 1975 [3], while
De Juan introduced 25-G instruments in 1990 [4]. Over
The eye has an anterior cavity and a posterior (vitreous)
the last decade, there has been development of 23-G [5,6],
cavity. The vitreous cavity is the larger of the two an
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