Our Summary

This study looks at the effectiveness of a particular type of eye surgery, called a microincisional vitrectomy, which was performed using a specific tool that makes 10,000 tiny cuts per minute. The study measured how successful the procedure was, how long the operation took, how many steps were involved in the operation, how many additional tools were used, changes in patients’ vision, and any negative side effects.

The results showed that all surgeries were successful in achieving their goals. On average, the entire operation took about 31 minutes, with various parts of the procedure taking between 3 to 9 minutes. The average number of steps in the procedure was about 4, and the average number of additional tools used was also about 4. Patients’ vision improved significantly three months after the operation. There were some negative side effects, including increased eye pressure (8% of patients), low eye pressure (6%), and a re-detachment of the retina (2%). However, most patients (82%) did not feel any discomfort after the operation.

The number of steps in the procedure was linked to longer operation times, more use of additional tools, and higher eye pressure the day after surgery. The more additional tools were used, the longer the operation took.

In conclusion, this type of eye surgery is effective and safe for a range of different eye conditions, and could potentially reduce the amount of time the operation takes and the need for additional tools.

FAQs

  1. What is a 25-gauge, beveled-tip, 10,000 cuts-per-minute microincisional vitrectomy surgery (MIVS) system?
  2. What were the main outcome measures of the study on the MIVS system?
  3. What were the results and conclusions of the clinical outcomes report on the beveled-tip, 10,000 cpm MIVS system?

Doctor’s Tip

A doctor might tell a patient undergoing vitrectomy surgery to expect improved vision after the procedure, as well as potential side effects such as elevated IOP or hypotony. They may also advise the patient to follow postoperative care instructions carefully to ensure a successful recovery.

Suitable For

Patients with various vitreoretinal indications are typically recommended vitrectomy, including those with retinal detachment, diabetic retinopathy, macular hole, epiretinal membrane, vitreous hemorrhage, and vitreomacular traction. This study demonstrates that a beveled-tip, 10,000 cpm microincisional vitrectomy surgery (MIVS) system can effectively and safely perform these common vitreoretinal procedures of varying complexity. The system may also help reduce operative times and the use of ancillary instrumentation, leading to improved visual outcomes and patient satisfaction.

Timeline

Before vitrectomy:

  1. Patient experiences symptoms such as floaters, flashes of light, blurred vision, or a curtain-like shadow over the field of vision.
  2. Patient undergoes a comprehensive eye examination to determine the need for vitrectomy.
  3. Patient discusses the risks and benefits of vitrectomy with their ophthalmologist.
  4. Patient undergoes preoperative testing and preparation for the surgery.

After vitrectomy:

  1. Patient may experience some discomfort, redness, or mild swelling in the eye immediately after surgery.
  2. Patient is advised to avoid strenuous activities and to use prescribed eye drops as directed.
  3. Patient attends follow-up appointments to monitor healing and visual acuity.
  4. Patient may experience improved vision over time as the eye heals.
  5. Patient may experience some complications such as elevated intraocular pressure, hypotony, or retinal re-detachment, which are monitored and managed by the ophthalmologist.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with vitrectomy surgery?
  2. How long is the recovery period after vitrectomy surgery?
  3. Will I need to wear any special eye protection or follow any specific post-operative care instructions?
  4. What are the expected outcomes of the surgery in terms of vision improvement?
  5. How experienced are you in performing vitrectomy surgeries with the 25-gauge, beveled-tip, 10,000 cpm MIVS system?
  6. Are there any alternative treatment options to vitrectomy that I should consider?
  7. How many vitrectomy surgeries have you performed using this specific MIVS system?
  8. How will my vision be affected during the immediate post-operative period?
  9. What should I do if I experience any unexpected symptoms or complications after the surgery?
  10. When can I expect to see the full benefits of the surgery in terms of improved vision?

Reference

Authors: Uy HS, Cabahug VLO, Artiaga JCM, Chan PS, Famadico JT. Journal: BMC Ophthalmol. 2022 Feb 24;22(1):93. doi: 10.1186/s12886-022-02311-3. PMID: 35196996