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Over the past decade, most ophthalmologists have become familiar with in-office cataract surgery, and more than 130 practices have begun offering the procedure.
Now, vitrectomy is also emerging as an option for office-based surgery (OBS).
Even before that idea stirred debate in the ophthalmology community, my practice became the first in the world to begin performing office-based vitrectomies at full scale. More than 3 years later, a dozen centers have adopted the strategy, including one in Ireland.
While conducting vitrectomy under oral sedation and a topical anesthetic is a disruptive idea, I

