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Small Gauge, Sutureless Surgery Techniques for Diabetic Vitrectomy

机译:糖尿病玻璃体切除术的小规格,无缝合手术技术

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摘要

The evolution of modern vitreoretinal surgery has produced significant advancements since its first description in 1971 by Machemer et al. His original 17-gauge multifunctional instrument began a wave of ingenuity that would dramatically change the way we treat ocular disease. Since then, improvements in technology, surgeon experience, and our understanding of diabetic pathophysiology have led to increasingly safer and effective vitrectomy. Following Machemer's initiative, numerous investigators have sought to develop a smaller, sutureless vitrectomy system to minimize iatrogenic insult to eyes with posterior segment pathology. These efforts led to the development of the 25-gauge transconjunctival sutureless vitrectomy system by de Juan and coworkers, first described by Fujii et al in 2002.2'3
机译:自1971年Machemer等人首次描述玻璃体视网膜手术以来,现代玻璃体视网膜手术的发展已取得了重大进展。他最初使用的17号多功能仪器开始了独创性的热潮,它将极大地改变我们治疗眼病的方式。从那时起,技术的改进,外科医生的经验以及我们对糖尿病病理生理学的了解已导致越来越安全有效的玻璃体切割术。在Machemer的倡导下,许多研究人员寻求开发一种较小的无缝合玻璃体切除术系统,以最大程度地减少因后段病变而对眼睛造成的医源性损害。这些努力促使de Juan及其同事开发了25规格的经结膜经结膜无缝玻璃体切割系统,该系统首先由Fujii等人在2002.2'3中进行了描述。

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