23 Gauge Vitrectomy: Current Usage, Indications, and Applications.

Güncel Retina Dergisi (Current Retina Journal) ◽

10.37783/crj-0276 ◽

2021 ◽

pp. 303-307

Keyword(s):

Cataract Surgery ◽

Pars Plana Vitrectomy ◽

Current Usage ◽

Extracapsular Cataract Surgery ◽

Pars Plana ◽

23 Gauge ◽

Development And Evolution

The development and evolution of pars plana vitrectomy are gorgeous. It is a big evolution like change that was seen in the transition to phacoemulsification surgery from extracapsular cataract surgery. However, improvements are not still over. While the changes and developments in vitrectomy experienced to increase the ease of application, application areas, and success of the surgeries, also offering different alternatives for surgeons. The main one is for different sized vitrectomy systems. Although it is appropriate to prefer smaller cuts at first glance, the difficulties in current use and application cause the necessity to be more conscious and to make preferences depending on the case and data.

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23-Gauge Pars Plana Vitrectomy without Phacofragmentation for Dislocated Lens Fragments after Complicated Cataract Surgery

Beyoglu Eye Journal ◽

10.14744/bej.18209 ◽

2016 ◽

Vol 1 (1) ◽

Author(s):

Gurkan Erdogan

Keyword(s):

Cataract Surgery ◽

Pars Plana Vitrectomy ◽

Complicated Cataract ◽

Pars Plana ◽

23 Gauge

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HYBRID 20/23-GAUGE PARS PLANA VITRECTOMY FOR RETAINED LENS FRAGMENTS AFTER CATARACT SURGERY

Retina ◽

10.1097/iae.0b013e3182453309 ◽

2012 ◽

Vol 32 (9) ◽

pp. 1749-1755 ◽

Cited By ~ 10

Author(s):

Daniel Barthelmes ◽

Sheena Alexander ◽

Paul Mitchell ◽

Jay Chandra

Keyword(s):

Cataract Surgery ◽

Pars Plana Vitrectomy ◽

Pars Plana ◽

23 Gauge

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Aerosol generation through pars plana vitrectomy

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2020-317214 ◽

2020 ◽

pp. bjophthalmol-2020-317214

Author(s):

Hasan Naveed ◽

Fong May Chew ◽

Hanbin Lee ◽

Edward Hughes ◽

Mayank A Nanavaty

Keyword(s):

Pars Plana Vitrectomy ◽

Ex Vivo ◽

Dynamic Changes ◽

Aerosol Generation ◽

Significant Difference ◽

Optical Particle Counter ◽

Pars Plana ◽

23 Gauge ◽

Set Up ◽

Ex Vivo Study

PurposeTo assess whether pars plana vitrectomy (PPV) is an aerosol-generating procedure (AGP) in an ex vivo experimental model.MethodsIn this ex vivo study on 10 porcine eyes, optical particle counter was used to measure particles ≤10 μm using cumulative mode in the six in-built channels: 0.3 μm, 0.5 μm, 1 μm, 2.5 μm, 5 μm and 10 μm aerosols during PPV. Two parts of the study were as follows: (1) to assess the pre-experimental baseline aerosol count in the theatre environment where there are dynamic changes in temperature and humidity and (2) to measure aerosol generation with 23-gauge and 25-gauge set-up. For each porcine eye, five measurements were taken for each consecutive step in the experiment including pre-PPV, during PPV, fluid–air exchange (FAX) and venting using a flute with 23-gauge set-up and a chimney with 25-gauge set-up. Therefore, a total of 200 measurements were recorded.ResultsWith 23-gauge and 25-gauge PPV, there was no significant difference in aerosol generation in all six channels comparing pre-PPV versus PPV or pre-PPV versus FAX. Venting using flute with 23-gauge PPV showed significant reduction of aerosol ≤1 μm. Air venting using chimney with 25-gauge set-up showed no significant difference in aerosol of ≤1 μm. For cumulative aerosol counts of all particles measuring ≤5 μm, compared with pre-PPV, PPV or FAX, flute venting in 23-gauge set-up showed significant reduction unlike the same comparison for chimney venting in 25-gauge set-up.ConclusionPPV and its associate steps do not generate aerosols ≤10 μm with 23-gauge and 25-gauge set-ups.

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