Positive early results for 27-gauge instrument system for microincision vitrectomy

Researchers used this new 27-gauge instrument system to conduct a variety of vitreoretinal procedures on 31 patients (31 eyes). They found the 27-gauge vitreous cutter was not yet adequate for treating complex proliferative vitreoretinal pathologies. But it was adequate for treating eyes with a macular hole, epiretinal membrane, macular edema, macular traction syndromes, simple vitreous hemorrhage, focal traction retinal detachment, and vitreous biopsy for cytological diagnosis. No eyes in this series needed conversion to large-gauge instrumentation, and all sclerotomies self-sealed without hypotony beginning at one day postop.