25g vs. traditional vitrectomy
February 24, 2009
This issue has been in the news lately, with some singing the praises of one, and some panning the other. Where does the truth lie? Many find the 25 guage to be cumbersome when doing extensive vitrectomies, as it takes longer, but prefer it for smaller cases, like macular hole surgery. And it seems the highere risk of endolphthalmitis is real in 25 guage sutureless surgery, though some surgeons will maintain that if the wounds are constructed carefully, the risk is no higher. I suppose it will take a while before peer-reviewed studies will give us definitive answers, but I was hoping I could hear from retina surgeons in the real world.
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