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27-Gauge Diabetic Vitrectomy

  Channels: Retina | Posted 2/2/2011

Yusuke Oshima, MD, shows several cases of diabetic vitrectomy cases with the 27 Gauge Transconjunctival System (D.O.R.C). The first case is vitreous hemorrhage. After trans-conjunctival insertion of the cannulas, wide angle viewing is used for a 27G core vitrectomy with a high-speed cutter. After removing the dense hemorrhage and dissecting the thick fibrovascular membrane with the cutter, a 27G curved endolaser probe is passed through the cannula to perform panretinal photocoagulation. The second case is more challenging: A 27G vitrectomy for diabetic TRD. The high speed cutter is used to directly dissect the bridging fibrovascular membrane.