Clinical effect of 23 G transconjunctival sutureless vitrectomy for idiopathic macular hole
10.3980/j.issn.1672-5123.2014.06.28
- VernacularTitle:23 G微创玻璃体切割术治疗特发性黄斑裂孔的疗效
- Author:
Wei, CAO
;
Mei-Ping, ZHANG
;
Hong-Ping, CUI
- Publication Type:Journal Article
- Keywords:
vitrectomy;
macular hole;
optical coherence tomography
- From:
International Eye Science
2014;(6):1086-1088
- CountryChina
- Language:Chinese
-
Abstract:
AIM:To observe the clinical effects of 23-gauge (23G) transconjunctival sutureless vitrectomy for idiopathic macular hole.
METHODS: In this retrospective study, 28 eyes of 28 consecutive patients who underwent 23 - gauge transconjunctival sutureless vitrectomy for idiopathic macular hole between January 2013 and October 2013 in our hospital were evaluated. The follow-up time was 3-12mo. The operation effects were analyzed.
RESULTS:The macular hole was closed in 27 eyes of 28 eyes which underwent 23G transconjunctival sutureless vitrectomy and not closed in 1 eye after surgery. Best-corrected visual acuity at postoperative 1, 3mo was significantly improved compared to pre-operation (χ2=8-65, P=0. 003;χ2=10. 33, P=0. 001). The macular hole was closed as shown by OCT. Intraoperative incision was sutured in 5 cases ( 18%) . There was no statistically significant difference in intraocular pressure between pre-operation and post - operation. No post - operative complications such as endophthalmitis, retinal detachment, vitreous hemorrhage came up.
CONCLUSION: 23G transconjunctival sutureless vitrectomy is observed to be safe and effective technique in the treatment of macular hole. It is therefore our preferred system for straightforward macular surgery.
