A Combination of 23-gauge and 20-gauge Transconjunctival Sutureless Vitrectomy.
10.3341/jkos.2008.49.1.65
- Author:
Sun Young JIN
1
;
Moon Jeong CHOI
;
Chul Gu KIM
;
Jong Woo KIM
Author Information
1. Department of Ophthalmology, Colleage of Medicine, Konyang University, Daejeon, Korea. chulgukim@hanmail.net
- Publication Type:Original Article
- Keywords:
Self-sealing sclerotomy;
Transconjunctival sutureless vitrectomy
- MeSH:
Choroid;
Diabetic Retinopathy;
Epiretinal Membrane;
Eye;
Hemorrhage;
Humans;
Hyphema;
Membranes;
Retinal Detachment;
Retinal Perforations;
Retinal Vein Occlusion;
Retrospective Studies;
Sutures;
Traction;
Uveitis;
Vitrectomy;
Vitreous Hemorrhage
- From:Journal of the Korean Ophthalmological Society
2008;49(1):65-70
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To describe the clinical experience and safety profile of a combination of 23-gauge and 20-gauge transconjunctival sutureless vitrectomy (TSV) METHODS: Thirty-seven eyes of thirty-seven consecutive patients who underwent 23-gauge combined with 20-gauge transconjunctival vitrectomy surgery by a single surgeon from August 2006 through December 2006 were reviewed retrospectively for surgical indications, wound problems, and postoperative complications. RESULTS: Thirty-seven eyes, including eyes with proliferative diabetic retinopathy (n=24), macular hole (n=3), epiretinal membrane (n=3), vitreous hemorrhage due to branch retinal vein occlusion and choroidal neovascular membrane (n=3), vitreous opacity secondary to uveitis (n=1), rhegmatogenous retinal detachment (n=1), and vitreoretinal traction syndrome (n=1), underwent operation. Seven eyes at 23-gauge sclerotomy sites and 15 eyes at 20-gauge sclerotomy sites had subconjunctival hemorrhage. Three eyes required sutures at 20-gauge sclerotomy sites intraoperatively due to wound leakage. One wound hemorrhage occurred at a 23-guage sclerotomy site. Vitreous hemorrhage (4 eyes), hyphema (2 eyes), and vitreous hemorrhage with hyphema (1 eye) occurred postoperatively. Postoperative hypotony, retinal detachment, and other complications did not occur. CONCLUSIONS: A combination of 23-gauge and 20-gauge transconjunctival sutureless vitrectomy which was created by modifying transconjunctival sutureless vitrectomy systems published previously guarded against sclerotomy wounds and a variety of vitreoretinal surgical indications.
