Exterior cryosurgical methods (CERCLAGE, PLOMBAGE)
They are used in therapy of non-complicated rhegmatogenous retina detachments. They may be combined with the application of expansive gas into the vitreous space. At our clinic we use expansive perfluoropropan C3F8.
Pars plana vitrectomy (20-gauge PPV)
We can also call it “suture vitrectomy” according to the incision size (0.9-1.0 mm). Vitreous tissue is removed during this technique for which a special, quickly oscillating microsurgical knife (vitrectom) is used. We use two main vitrectom types – a pneumatic one and a high-frequency, electrical vitrectom. During the surgery (if needed) vitreous cavity is filled with silicon oil or expansive gas. A wide range of vitroretinal instrumentarium is used during the surgery. The operating area is shown by means of operating microscope with widescreen display system (BIOM) and image rotation (SDI). Indications for surgery: complicated retinal detachments, tractional retinal detachment, complicated vitreous clouding, luxated natural or artificial intraocular lens, and complicated posttraumatic conditions.
Sutureless pars plana vitrectomy (23-gauge PPV)
The size of the incision is 0.6 mm. It is a top and gentle technique. The surgery usually takes about 30-40 minutes. The size of the incision does not require closing the operating entries with sutures. This method shows distinct postoperative comfort and quick healing. The basic indications are: macula surgery (macular hole, epimacular membrane, macular edema), and certain vitreous cloudings.
Sutureless pars plana vitrectomy (25-gauge PPV)
Suturless surgery with the tiniest incisions; however, suitable only for certain disorders. This surgery takes a bit longer than the above mentioned 23G method. The best solution for your surgery will be discussed and chosen by our eye surgeon.