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Journal of Ophthalmology
Volume 2017, Article ID 6285869, 9 pages
Review Article

Review of Small Gauge Vitrectomy: Progress and Innovations

1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, Kowloon, Hong Kong
2Sint Augustinus Hospital, Wilrijk, Belgium

Correspondence should be addressed to Carl Claes; eb.tenyks@dm.sealc

Received 17 February 2017; Accepted 29 March 2017; Published 15 May 2017

Academic Editor: Ala Moshiri

Copyright © 2017 Shaheeda Mohamed et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To summarise the surgical advances and evolution of small gauge vitrectomy and discuss its principles and application in modern vitreoretinal surgery. The advent of microincisional vitrectomy systems (MIVS) has created a paradigm shift away from twenty-gauge vitrectomy systems, which have been the gold standard in the surgical management of vitreoretinal diseases for over thirty years. Advances in biomedical engineering and surgical techniques have overcome the technical hurdles of shifting to smaller gauge instrumentation and sutureless surgery, improving surgical capabilities and expanding the indications for MIVS.