Hypersonic vitreous liquefaction drives breakthrough innovation in vitrectomy

Hypersonic vitrectomy, which uses hypersonic reciprocating hydraulics to liquefy the vitreous, may be the next major breakthrough in vitreoretinal surgery. While pneumatic cutters use a double-port probe, wherein the vitreous is first aspirated and then sheared, the new system liquefies and aspirates the vitreous with a 23-gauge single-port probe.
“Rather than being cut, the vitreous is reduced to the viscosity of water and aspirated, using much lower energy with greater efficiency, causing less traction and turbulence,” Amar Agarwal, MS, FRCS, FRCOphth, director of Dr. Agarwal’s

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