I was in my residency in 1970 when the pioneering work on mechanical vitrectomy was done by Robert Machemer, MD. It was quickly learned that piston-like guillotine cutters were safer with less traction on the retina than rotary cutters. I started with the Ocutome, which required a separate machine as the phacoemulsification machines of that day did not have vitrectors incorporated into them. Fortunately, today all phacoemulsification equipment comes with an integrated vitrector.
In the ensuing 45 years, guillotine cutters have dominated the field. Over the decades, they have become (Read more...)
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