Minimally Invasive Vitreous Surgery: 20 Gauge to 27 Gauge

The vitreous humour is a clear gel positioned behind the iris (coloured part) and the lens, and in front of the retina (back of the eye). Vitrectomy is the surgical removal of the vitreous humour, a procedure needed to allow ophthalmic surgeons to diagnose and treat underlying disease in the eye.

Small gauge minimally invasive vitreous surgery (MIVS) allows ophthalmic surgeons to make smaller incisions, reducing the need for sutures and therefore increasing the speed of recovery.

This practical book presents ophthalmic surgeons with the most recent advances in MIVS, with emphasis on the differences between gauge sizes.

Beginning with an introduction to the technique and anaesthesia, the following chapters discuss MIVS for different disorders.

More than 190 full colour images and illustrations, and a DVD demonstrating MIVS procedures help retinal surgeons learn how to minimalise surgical trauma by reducing the gauge size of vitrectomy instruments.

Key points

• Presents ophthalmic surgeons with most recent advances in minimally invasive vitreous surgery
• Emphasis on differences between gauge sizes
• Includes DVD demonstrating surgical procedures
• Comprehensive text enhanced by more than 190 colour images and illustrations

1. Introduction and Anesthesia
2. Technological Support for MIVS
3. Faster Visual Recovery with MIVS
4. Microincision Vitrectomy—Incision
5. 25 Gauge Vitrectomy Overview
6. 23 and 25 Gauge Vitrectomy: An Overview
7. 27 Gauge Vitrectomy System
8. MIVS in Macular Hole
9. MIVS for Vitreoretinal Interface Disorders
10. Microincision Vitrectomy System in PDR
11. Small Gauge Vitrectomy in Endophthalmitis
12. MIVS in Vitreous Hemorrhage
13. MIVS for Retinal Detachment
14. MIVS in Macular Edema
15. Silicone Oil in MIVS
16. Combined Cataract and Vitreoretinal Surgery
17. Hybrid Vitrectomy
18. 20 Gauge Sutureless Vitrectomy
19. Complications in MIVS
20. Improved Visualization for Microincision Vitreous Surgery

DVD Contents

1. MIVS for ERM
2. 25 Gauge for IOL Drop
3. Sutureless Silicon Oil Removal
4. 27 Gauge Vitrectomy
5. Small Gauge Vitrectomy for Endophthalmities

Shalabh Sinha MBBS MS DNB
Vitreoretinal Surgeon, Krishna Vitreoretinal Surgery and Laser Centre, Patna, Bihar, India