Vitreo-retinal Surgery
Essentials in Ophthalmology, 2009, 89-103, DOI: 10.1007/978-3-540-68586-9_10

25-Gauge Sutureless Vitrectomy for Diabetic Retinopathy

T. S. Hassan

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Abstract

•  25-gauge vitrectomy has emerged as a treatment approach for the following indications:
•  Nonclearing VH,
•  Tractional retinal detachment,
•  Refractory diabetic macular edema,
•  Combined tractional and rhegmatogenous retinal detachment,
•  High risk PDR with anterior segment neovascularization
•  Severe premacular subhyaloid hemorrhage
•  Vitreopapillary traction
•  Ghost-cell glaucoma
•  Vitrectomy has the potential to lead to long-lasting good outcomes for some eyes with refractory CSDME, and should be in the armamentarium of all vitreoretinal surgeons.
•  Proliferative pathology posterior to the equator, with or without tractional retinal detachment, has become significantly easier to approach, and may become another indication for which 25-gauge vitrectomy is the preferred technique as newer peripheral light sources and wide-field viewing systems become more ubiquitously available.
•  The majority of diabetic eyes that require vitrectomy may now be approached with the 25-gauge surgical technique.

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