Vitreous Surgery

  • Mireille Bonnet


The first attempts to use vitreous surgery to relieve vitreoretinal traction1,2 antedate recognition of the role of retinal breaks in the pathogenesis of retinal detachment by Gonin.3 During the 1960s vitreous surgery had occasionally been used by retina surgeons to cut intravitreal bands and membranes associated with retinal detachment.4,5 Due to the limits of the available instrumentation, however, and fear of creating iatrogenic lesions, attempts to relieve vitreoretinal traction using intravitreal surgery had been most infrequent until the development of closed vitrectomy though the pars plana by Machemer6 in the U.S.A. and Klöti7 in Europe in the early 1970s. The basic principles and techniques of modern vitreous surgery were established by Machemer. During the last 15 years many surgeons have contributed to the development of the instrumentation and methods currently used today.8–25 Modern vitreous surgery has made desperate and hopeless retinal detachments amenable to surgical management. It has, therefore, been rapidly included in the armentarium of most retinal detachment surgeons. Closed vitreous surgery through the pars plana is the most significant advance in the management of retinal detachment during the last 15 years.


Retinal Detachment Macular Hole Rhegmatogenous Retinal Detachment Scleral Buckling Retinal Break 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Von Graefe AV: Ueber Operative Eingriffe in die tieferen Gebilde des Auges. Perforation von abelösten Netzhaüten und Glaskör-permembranen. Albrecht Von Graefes Arch HIin Ophthalmol 9, 2: 85–104, 1863Google Scholar
  2. 2.
    Deutschman R: Ueber ein nues Heilverfahren bei Netzhautahloesung. Cbl Augenheilkd, 176, 1895Google Scholar
  3. 3.
    Gonin J: Le décollement de la rétine. Pathogénie, traitement. Lausanne, Switzerland, Librarie Payot et co, 1934Google Scholar
  4. 4.
    Von Paque W, Meyer-Schwickerath G: Durchschneidung von Glasköerpersträengen bei Netzhautablösung, HIin Monatsbl Augenheilkd 142: 522–526, 1963Google Scholar
  5. 5.
    Cibis PA: Vitreoretinal pathology and surgery in retinal detachment St Louis, C. V. Mosby Company, 83–86, 1965Google Scholar
  6. 6.
    Machemer R, Parel JM, Buettner H: A new concept for vitreous surgery, 1—Instrumentation. Am J Ophthalmol 73: 1–7, 1972PubMedGoogle Scholar
  7. 7.
    Hiöti R: Vitrectomie. Bull Mem Soc Fr Ophtalmol 86: 251–253, 1973Google Scholar
  8. 8.
    HIöti R: Vitrecktomie:Ein neves instrument fur die hintere Vitrecktomie. Albrecht von Graefes, Arch HIin Ophthalmol 187: 161–170, 1973CrossRefGoogle Scholar
  9. 9.
    Kreiger AE, Straatsma BR: Stereotaxic vitrectomy. Mod Probl Ophthalmol 10: 411–423, 1974Google Scholar
  10. 10.
    Parel JM, Machemer R, Aumayr W: A new concept for vitreous surgery, 4 improvements in instrumentation. Am J Opththalmol 77: 6–12, 1974Google Scholar
  11. 11.
    Machemer R: A new concept for vitreous surgery, VII two instrument techniques in pars plana vitrectomy. Arch Ophthalmol 92: 407–412, 1974PubMedCrossRefGoogle Scholar
  12. 12.
    Tolentino F, Banko A, Schepens A, et al: Vitreous surgery: new instrumentation for vitrectomy, Arch Ophthalmol 93: 667–672, 1975PubMedCrossRefGoogle Scholar
  13. 13.
    O’Malley C, Heintz RM: Vitrectomy with an alternative instrument system, Ann Ophthalmol 7: 585–594, 1975PubMedGoogle Scholar
  14. 14.
    Douvas NG: Microsurgical roto-extractor instrument for vitrectomy. Mod Probl Ophthalmol 15: 253–260, 1975PubMedGoogle Scholar
  15. 15.
    Freeman HM, Schepens CL, Tolentino F: The current status of vitreous membrane surger,y Mod Probl Ophthalmol 15: 261–271, 1975PubMedGoogle Scholar
  16. 16.
    Machemer R, Aaberg TH: Vitrectomy, 2d Ed. Orlando FL, Grune & Stratton, 1979Google Scholar
  17. 17.
    Federman JL: The “Site” instrument (suction infusion tissue extractor), in New and controversial aspects in vitreoretinal surgery, McPherson A (Ed) St. Louis, C. V. Mosby, 184–189, 1977Google Scholar
  18. 18.
    Karlin D: Ultrasonic and laser techniques in vitreoretinal surgery. New and controversial aspects, in vitreoretinal surgery, McPherson A (Ed) St. Louis, C. V. Mosby, 274–280, 1977Google Scholar
  19. 19.
    L’Esperance F A: Vitreolysis. Mod Probl Ophthalmol 18: 224–235, 1977PubMedGoogle Scholar
  20. 20.
    O’Malley C, Tripp RM, Heintz RM: Recent modifications in closed-eye intraocular surgery, in McPherson, New and controversial aspects of vitreoretinal surgery, edited by McPherson St. Louis, C. V. Mosby, pp 190–194, 1977Google Scholar
  21. 21.
    Spitznas M: New developments in instrumentation for vitreous surgery. Mod Probl Ophthalmol 18: 201–204, 1977PubMedGoogle Scholar
  22. 22.
    Limon S, Offret H, Sourdille PH: Chirurgie du vitré. Bull Soc Ophtalmol Fr Annual Report 1978, Marseille, Ed Fueri Lamy, 1978Google Scholar
  23. 23.
    Charles S: Vitreous microsurgery. Baltimore, Williams and Wilkins, 1981Google Scholar
  24. 24.
    Michels RG: Vitreous surgery. St. Louis, C. V. Mosby Company, 1981Google Scholar
  25. 25.
    Peyman GA, Schulman JA: Intravitreal surgery, Principles and practice. Norwalk, Appleton Century Crofts, 1986Google Scholar
  26. 26.
    Escoffery RF, Olk RJ, Grand MG, Boniuk I: Vitrectomy without scleral buckling for primary rhegmatogenous retinal detachment. Am J Ophthalmol 99: 275–281, 1985PubMedGoogle Scholar
  27. 27.
    Bonnet M: Indications de la vitrectomie dans le traitement des décollements rétiniens rhegmatogènes. Ophtalmologie 1: 95–100, 1987PubMedGoogle Scholar
  28. 28.
    Fournier P, Bonnet M, Aracil P: Décollement rétinien rhegmatogène et déchirures rétiniennes, associés à une hémorragie du vitré. J Fr Ophtalmol 11: 7–14, 1988PubMedGoogle Scholar
  29. 29.
    Ehrenberg M, Thresher RJ, Machemer R: Vitreous hemorrhage nontoxic to retina as a stimulator of glial and fibrous proliferation. Am J Ophthalmol 97: 611–626, 1984PubMedGoogle Scholar
  30. 30.
    Convers M, Machemer R: A new approach to treating retinal detachment with macular hole. Am J Ophthalmol 94: 468–472, 1982Google Scholar
  31. 31.
    Machemer R: The importance of fluid absorption, traction, intraocular currents and chorioretinal scars in therapy of rhegmatogenous retinal detachment. Am J Ophthalmol 98: 681–693, 1984PubMedGoogle Scholar
  32. 32.
    Mikaye Y: A simplified method of treating retinal detachment with macular hole. Arch Ophthalmol 104: 1234–1236, 1986CrossRefGoogle Scholar
  33. 33.
    O’Malley C: Collapsing technique for removing vitreous base ocutome. Newsletter 2 (1), 1977Google Scholar
  34. 34.
    O’Malley C: Closed eye endomicrosurgery. Highlights of ophthalmology, Silver anniversary vol. 1, Boyd B (ed), 97–177Google Scholar
  35. 35.
    Michels RG: Vitrectomy techniques in retinal reattachment surgery. Ophthalmology 86: 556–585, 1979PubMedGoogle Scholar
  36. 36.
    Hull DS, Chemotti MT, Edelhauser H, et al: Effect of epinephrine on the corneal endothelium. Am J Ophthalmol 79: 245–250, 1975PubMedGoogle Scholar
  37. 37.
    Faulborn J, Conway BP, Machemer R: Surgical complications of pars plana vitreous surgery. Ophthalmology 85: 116–125, 1978PubMedGoogle Scholar
  38. 38.
    Kreiger AE, Straatsma BR, Griffin JR: Stereotoxic vitrectomy. Mod Probl Ophthal 12: 411–423, 1974Google Scholar
  39. 39.
    Kreiger AE, Straatsma BR, Foos RY: Incisional complications in pars plana vitrectomym Mod Probl Ophthal 18: 210–223, 1977Google Scholar
  40. 40.
    Tardif Y, Schepens CL: Closed vitreous surgery, XV: fibrovascular ingrowth from the pars plana sclerectomy. Arch Ophthalmol 95: 235–239, 1977PubMedCrossRefGoogle Scholar
  41. 41.
    Tardif Y, Schepens CL, Tolentino FI: Vitreous surgery, XIV: complications from sclerectomy in 89 consecutive cases. Arch Ophthalmol 96: 229–234, 1977CrossRefGoogle Scholar
  42. 42.
    Bonnet M, Grange JD: Photocoagulation et vitrectomie dans les rétinopathies prolifératives neo-vasculaires. Bull Soc Ophtalmol Fr 11: 1399–1406, 1986Google Scholar
  43. 43.
    Bonnet M: Treatment of retinal detachment after penetrating injury: heavy cryotreatment of the fibrous ingrowth remnants as an adjunct to vitreoretinal microsurgery, Ophthalmologica 194: 164–168, 1987PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • Mireille Bonnet
    • 1
  1. 1.Department of Ophthalmology Croix-Rousse HospitalUniversity of LyonLyonFrance

Personalised recommendations