Pars Plana Vitrectomy with the 25 + Vitrectomy System

Abstract

The 25+ vitrectomy system was developed with the aim to make vitrectomy a safer, simpler and faster procedure. In our Department, this innovative technique became available in 2011 and since then, we use it exclusively in our cases. The purpose of this paper is to present the outcomes of 25+vitrectomy in various ocular diseases. We conducted a retrospective study including all the 418 vitrectomies that we carried out for the past two years. We discuss the technical characteristics and results according to the clinical condition in which 25+ vitrectomy was performed, as follows: rhegmatogenous retinal detachments - 150 cases (35.88%), vitreous hemorrhages - 105 cases (25.11%), silicone oil extractions - 57 cases (13.63%), tractional retinal detachments- 40 cases (9.56%), epimacular membranes - 20 cases (4.78%), dislocated nucleus/lens/implant into the vitreous cavity - 12 cases (2.87%), intraocular foreign bodies - 15 cases (3.58%), macular holes - 10 cases (2.39%), endophthalmities - 6 cases (1.43%), intraocular inflammations - 3 cases (0.71%). We illustrate the advantages of the 25+ vitrectomy system with the most suggestive clinical conditions. The 25+ vitrectomy has been shown to be a safe and efficient procedure on our series.