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Incision making in small gauge surgery

DOI: 10.5677/2011-1-11

Submitted by: Manish Nagpal, MS, FRCS

Small-gauge or sutureless surgery is gaining widespread popularity. Incision making is the key to achieving a sound postoperative wound. Various incision-making techniques have evolved, and this video discusses the steps of making a good incision. The significance of retracting the conjunctiva using a stabilizer and then placing a biplanar incision is demonstrated. Steps to achieve sound incision closure upon the cannula removal, and the application of pressure on the wounds using a flat indentor are also discussed.

Keywords: sutureless vitrectomy, microincision vitreoretinal surgery, ports, wound leak, small gauge vitrectomy

1) Fabian ID, Moisseiev J. Sutureless vitrectomy: evolution and current practices. Br J Ophthalmol. 2011;95(3):318-24
2) Hattenbach LO. The "bell pepper" experiment: introducing a novel self-sealing “screwcut” incision for sutureless transconjunctival vitrectomy. Video Journal of Vitreoretinal Surgery. 2011. doi: 10.5677/2011-1-7
3) Thompson JT. Advantages and limitations of small gauge vitrectomy. Surv Ophthalmol. 2011;56(2):162-72
4) Spirn MJ. Comparison of 25, 23 and 20-gauge vitrectomy. Curr Opin Ophthalmol. 2009;20(3):195-9
5) Nagpal M, Wartikar S, Nagpal K. Comparison of clinical outcomes and wound dynamics of sclerotomy ports of 20, 25, and 23 gauge vitrectomy. Retina. 2009;29(2):225-31

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Incision making in small gauge surgery

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Institution: Retina Foundation, Ahmedabad, India
ISSN: 2191-8473