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23-gauge transconjunctival sutureless vitrectomy: visual outcomes and complications.

Abstract

PURPOSE
To report results and complications of 23-gauge transconjunctival sutureless pars plana vitrectomy for a variety of vitreoretinal diseases.
METHODS
A prospective consecutive case series study was performed in 66 eyes of 66 patients. Indications for surgery were epiretinal membrane (n = 20), rhegmatogenous retinal detachment (n = 19: 14 pseudophakic, 5 phakic), macular hole (n = 16), vitreous hemorrhage (n = 5), cyclodialysis (n = 1), intraocular lens luxation (n = 1), asteroid hyalosis (n = 1), congenital retinoschisis (n = 1), and endophtalmitis (n = 2). Main outcome measures included visual acuity, intraocular pressure, and intra- and post-operative complications.
RESULTS
Mean patient age at time of operation was 68 ± 12 years. Overall, visual acuity improved from 1.03 ± 1.00 logMAR preoperatively to 0.32 ± 0.33 logMAR postoperatively (p < 0.01) after a mean follow-up time of 9.3 ± 4.7 months. Mean preoperative intraocular pressure was 13.9 ± 3.5 mmHg, and mean postoperative intraocular pressure was 17.9 ± 9.6 mmHg on day 1 (p < 0.01) and 14.7 ± 2.8 mmHg (p = 0.05) at final visit. Concerning complications, 2 cases of hypotony and 7 of hypertony occurred on day 1, a macular hole reopened some weeks later, and a retinal detachment recurred in one case.
CONCLUSION
23-gauge transconjunctival sutureless vitrectomy is an effective and safe technique for a variety of vitreoretinal diseases.

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  • Publisher Full Text
  • Authors

    Mateo-Montoya A, Mendrinos E, Tabatabay C, Pournaras CJ

    Source

    Seminars in ophthalmology 26:2 2011 Mar pg 37-41

    MeSH

    Aged
    Conjunctiva
    Eye Diseases
    Female
    Humans
    Intraoperative Complications
    Male
    Microsurgery
    Middle Aged
    Postoperative Complications
    Prospective Studies
    Retinal Diseases
    Suture Techniques
    Visual Acuity
    Vitrectomy
    Vitreous Body

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    21469961