![]() ![]() Scleral Buckling Using the Chandelier Illumination Guided by Non-Contact Visualization Systems ![]() New technologies require that possible advantages be scientifically proven to be considered “state-of-the-art”, and there are limitations for rapid adoption, such as excessive cost, learning curve, and surgeon preference for the techniques previously considered the standard.Īdvances in vitreoretinal surgery can be divided, based on a didactic point of view, into 13 fields: scleral buckling using the chandelier illumination guided by non-contact visualization systems sclerotomy/valved trocar diameters posterior vitrectomy systems and ergonomic vitrectomy probes chromovitrectomy vitreous substitutes intraoperative visualization systems including three-dimensional (3D) technology and systems for intraoperative optical coherence tomography (OCTi) new instrumentation in vitreoretinal surgery anti-VEGF injections before vitrectomy in eyes with proliferative diabetic retinopathy (PDR) and new surgical techniques such as endoscopic surgery, the management of subretinal hemorrhages, gene therapy using viral vectors, alternative techniques for refractory macular holes (MHs), and perspectives for stem cell therapy and retinal pigment epithelium (RPE transplantation) the prevention of proliferative vitreoretinopathy (PVR) and the Port Delivery System.Ģ.1.2. Vitreoretinal surgery has undergone the most changes in recent decades. The main objective of this review is to update the reader on the latest changes in vitreoretinal surgery and to provide an understanding of how each has impacted the improvement of surgical outcomes. The advances are divided into the following topics: scleral buckling using chandelier illumination guided by non-contact visualization systems sclerotomy/valved trocar diameters posterior vitrectomy systems and ergonomic vitrectomy probes chromovitrectomy vitreous substitutes intraoperative visualization systems including three-dimensional technology, systems for intraoperative optical coherence tomography, new instrumentation in vitreoretinal surgery, anti-VEGF injection before vitrectomy and in eyes with proliferative diabetic retinopathy, and new surgical techniques endoscopic surgery the management of subretinal hemorrhages gene therapy alternative techniques for refractory macular hole perspectives for stem cell therapy and the prevention of proliferative vitreoretinopathy and, finally, the Port Delivery System. Advances in vitreoretinal surgery provide greater safety, efficacy, and reliability in the management of the several vitreoretinal diseases that benefit from surgical treatment. ![]()
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