The minimally invasive Vitrectomy represents the most advanced frontier of what can be done inside an eye. Thanks to the miniaturization of technologies, it allows the elimination of pathologies that have caused problems at the retinal level and at vitreous level such as hemorrhages, membranes that have grown on the retina in the cases of diabetic retinopathies and posterior vitreous detachment but also all the diseases of the rhegmatogenous type. All the problems that afflict the vitreous and the retina when the vitreous is detached from it and on the lesions are precisely called rhegmatogene. It can cause retinal detachment which is a very debilitating disease that certainly leads to blindness if not treated. It can be prevented with extensive eye examinations by retinal specialists. It can be avoided by prophylactic laser treatment of the lesions and above all it must be treated with surgery such as cerclage and / or vitrectomy in case the retina has already detached.
The minimally invasive Vitrectomy has 27 Gauge and now available on the market for two years. It allows a rapid restoration of the eye's functions and therefore a very quick patient's rehabilitation. This translates into a few hours' hospitalization and the patient can be discharged a few hours after surgery and can go home with a blindfold. The next day, the patient goes back to have it checked by the ophthalmologist. The eye is blindfolded until the patient is in a condition to resume normal activities. For intense activities such as gym or sport, usually, the patient is laid off for at least two or three weeks.
The minimally invasive 25/27 Gauge Vitrectomy allows the elimination of the vitreous, the gel that fills the eye which is the basis of numerous pathologies of the vitreoretinal interface. When we are born, the vitreous is in continuity with the retina and therefore there is no separation between these two structures. When the vitreous begins to degenerate due to advanced age, myopia, trauma or any other ocular diseases that can create inflammation inside the cavity itself, either the detachment of the vitreous or its degeneration, leads to alterations of the space that is created between the vitreous and the retina. After birth, when we are children, this space is virtual. However, when we are adult, when the vitreous is detached, it is the pabulum for the growth of membranes, possibly, pathologies of the vitreoretinal interface.
These membranes begin to pull on the surface of the retina and distort it. The patient sees it distorted and fogged until it can lose the central vision by traction directly on the fovea which is the most central point of the macula itself.
Following this hole formation, the macular hole has an acute or minor loss of central vision and the only way to treat this type of disease is minimally invasive Vitrectomy. It allows a restoration of the retinal anatomy and the relaxation of the tractions that caused the macular hole itself.
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Graduated in Medicine and Surgery from the University of Turin in 1996 and specialised at the same University in Ophthalmology in 2000. Is one of the best and most successful Italian refractive surgeons and, in particular, deals with:
► Cataract surgery with high-tech IOL implants:
– Performed the first Panoptix trifocal lens implant procedure
– Has also acquired a wealth of experience in the management of multifocal and toric IOLs
– Has implanted hundreds of multifocal IOL lenses
► Preventative keratoconus surgery by corneal cross-linking and insertion of intrastromal corneal rings
► Excimer laser surgery
► Phakic IOL implants: certified surgeon by the American company Staar
► In June 2016, he implanted the first ICL Evo+ V5 lens implants in Italy
► An established vitreo-retinal surgeon, performing routine minimally invasive vitrectomies and has so far performed over 350 27-gauge vitrectomies
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