27 Gauge: Ready for Primetime
Friday, March 25, 2016
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Chapters
Jorge A. Fortun, MD: 27 Gauge: Ready for Primetime
Does size matter?
TDC Cutter…Game Changer
removal of vitreous opacities
Epiretinal Membrane Peel
Epiretinal Membrane Peel Clip
DORC 27 Gauge Dual Chandelier
Thank you
Peter Stalmans, M.D.: 27 gauge vitrectomy
Small gauge vitrectomy: History
25G - 23G timeline (personal experience)
Small gauge vitrectomy: Instrument stiffness
Improved instrument stiffness
Example: ILM peeling
Reinforced instrument base
Curved instruments possible
27G Scissors - bimanual
Small gauge vitrectomy: Fluidics
High speed infusion
Core vitrectomy – vacuum mode
Core vitrectomy – 23G
Core vitrectomy – 27G
Shaving – flow mode
Shaving – 23G
Shaving – 27G
TDC Cutter “Twin duty Cycle”
Standard Cutter A.
TDC Cutter
Small gauge vitrectomy: Reduction of vitreous incarceration
Video Clip
Anterior loop traction
Fast wound closure
Small gauge vitrectomy: Reduced inflammation: MIVS & MICS
Picture
Small gauge vitrectomy: Disadvantages of small gauge
27G limitations: Illumination
Illumination - chandelier
27G limitations: Silicone oil injection / extraction
Small gauge vitrectomy: Conclusion - personal experience
27G – personal experience
Gaurav Shah, MD: Retina insitute
Introduction
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Clip 4
Clip 5
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