Advances in small-gauge vitrectomy

With the advent of small-gauge vitrectomy, there has been a paradigm shift in the surgical management of posterior segment disorders. However, when this concept was first introduced, there were numerous technical hurdles and limitations. Over the years, various technological advances, especially the introduction of new generation vitrectomy machines capable of powering small-gauge instrumentation and improvised fluidics, have overcome these limitations. This review presents the evolution of sutureless vitrectomy to its present status and discusses the various advances that have taken place in various concepts, such as instrumentation, to achieve better efficiency and results. Shorter operating times, improvements in patient comfort, and faster visual recovery are the main benefits of this approach.