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Review
. 2017 Jun;6(1):49-54.
doi: 10.1007/s40123-017-0084-8. Epub 2017 Mar 29.

A Review of Microinvasive Combined Phaco-Vitrectomy: Recent Technical Advances

Affiliations
Review

A Review of Microinvasive Combined Phaco-Vitrectomy: Recent Technical Advances

Andrea Mercanti et al. Ophthalmol Ther. 2017 Jun.

Abstract

Combined cataract and vitreoretinal surgery results in better compliance in patients with posterior segment pathology and should be the preferred approach to reduce the high rate of cataract development after vitreoretinal surgery and to improve earlier visual acuity. Technological advances in both anterior and posterior segment surgery are leading to the development of instruments with a smaller diameter and more efficient tools, resulting in a minimizing of the tissue trauma related to the surgery, acceleration of functional recovery and increasing patient comfort. In this review we report on recent advances that allow this miniaturization process while maintaining the efficacy and safety of microinvasive combined surgical procedures, with a focus on pumps, illumination, phaco tip and the vitrectomy probe.

Keywords: Combined phaco-vitrectomy; Microinvasive surgery; Surgical tool.

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References

    1. Misra A, Ho-Yen G, Burton RL. 23-gauge sutureless vitrectomy and 20-gauge vitrectomy: a case series comparison. Eye. 2009;23(5):1187–1191. doi: 10.1038/eye.2008.175. - DOI - PubMed
    1. Kellner L, Wimpissinger B, Stolba U, et al. 25-gauge vs 20-gauge system for pars plana vitrectomy: a prospective randomised clinical trial. Br J Ophthalmol. 2007;91(7):945–948. doi: 10.1136/bjo.2006.106799. - DOI - PMC - PubMed
    1. Shentu X, Zhang X, Tang X, Yu X. Coaxial microincision cataract surgery versus standard coaxial small-incision cataract surgery: a meta-analysis of randomized controlled trials. PLoS One. 2016;11(1):e0146676. doi: 10.1371/journal.pone.0146676. - DOI - PMC - PubMed
    1. Lee JY, Jeong HS, Lee DY, et al. Early postoperative intraocular pressure stability after combined 23-gauge sutureless vitrectomy and cataract surgery in patients with proliferative diabetic retinopathy. Retina. 2012;32(9):1767–1774. doi: 10.1097/IAE.0b013e3182475ad6. - DOI - PubMed
    1. Savastano A, Savastano MC, Barca F, Petrarchini F, Mariotti C, Rizzo S. Combining cataract surgery with 25-gauge high-speed pars plana vitrectomy results from a retrospective study. Ophthalmology. 2013;121(1):299–304. doi: 10.1016/j.ophtha.2013.06.022. - DOI - PubMed

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