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      25-, 23-, or 20-gauge instrumentation for vitreous surgery?

      Eye
      Endophthalmitis, etiology, Equipment Design, Humans, Vitrectomy, adverse effects, instrumentation, trends, Vitreous Body, surgery

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          Abstract

          To discuss the evolution and current status of 25-, 23-, and 20-gauge vitrectomy instrumentation. Literature review. There are multiple small case series describing the surgical techniques, clinical outcomes, and complications associated with 25- and 23-gauge vitrectomy. These studies suggest that small-gauge vitrectomy may shorten operating time, improve patient comfort, and speed visual recovery. However, increased complication rates involving hypotony and endophthalmitis have been reported. There are no level 1 evidence-based studies comparing the efficacy and safety of 25-, 23-, and 20-gauge vitrectomy. 25- and 23-gauge vitrectomy techniques may shorten operating time, improve patient comfort, and speed visual recovery. However, larger and better designed evidence-based studies are required to better understand relative values of 25-, 23-, and 20-gauge vitrectomy.

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          Author and article information

          Journal
          18292789
          10.1038/eye.2008.20

          Chemistry
          Endophthalmitis,etiology,Equipment Design,Humans,Vitrectomy,adverse effects,instrumentation,trends,Vitreous Body,surgery

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