Since the introduction of vitrectomy in the 1970s, vitreoretinal surgery has rapidly developed. Initially, new instrumentations were created to facilitate intraocular maneuvers and to treat almost all the vitreoretinal pathologies. High speed vitrectome probs, forceps, scissors, endolaser probes, and new light sources (xenon/photon light) permit us to perform safer surgeries.

However, in the last few years the approach to vitreoretinal surgery has changed with the introduction of small gauge instruments and sutureless surgery. At present there is still confusion among vitreoretinal surgeons about the use of 25-, 23- or 20-gauge sutureless systems.

Leading surgeons in the field were recruited to offer their insights into the sutureless techniques they perform.

Topics dealt with in the book include: - fluidics and technical characteristics of 23- and 25-gauge systems, - basic vitrectomy techniques of 23- and 25-gauge systems, - sclerotomy characteristics of the sutureless approach, - advantages and disadvantages of the sutureless technique, - vitreoretinal pathologies treated with 23- and 25-gauge systems, - complications of the sutureless technique, - current clinical data.

25-Gauge Instrumentation Engineering Challenges and Tradeoffs

25-gauge Vitreous Surgery: Getting Started
Comparison of 25-gauge Trocar/Cannula Wound Healing and Remodeling with In Vivo Vitrector Flow Analysis
25-Gauge, Sutureless, Trans-Conjunctival Vitrectomy
23/25 gauge trocars insertion technique/ 23/25 gauge "one-step" instrumentation
25-23 gauge vitrectomy for Rhegmatogenous Retinal Detachment
23-Gauge, Sutureless, Trans-Conjunctival Vitrectomy
25 gauge Macular Surgery
25-gauge Sutureless Vitrectomy for Diabetic retinopathy
25 gauge Perfluorocarbon Perfused Vitrectomy
25 gauge Vitrectomy for vitreous floaters
25 g vitrectomy in infectious endophthalmitis
25-gauge system for Vitreous and Retinal/Choroidal Biopsy
Complications of 25 Gauge Vitrectomy
The use of 25 gauge systems in the management of trauma
Small gauge approach in Pedriatic VR surgery
A Comparison of 20 versus 25 gauge Vitrectomy: Does Size Matter? - 20 gauge sutureless vitrectomy with trocar system
Combined Phaco/25g Vitrectomy historical overview of microincision surgery
20 gauge sutureless vitrectomy without trocar system
Pearls from the Experts.