Vitreoretinal Surgery Using Transconjunctival Sutureless Vitrectomy.
10.3349/ymj.2004.45.4.615
- Author:
Young Jae CHO
1
;
Jun Mo LEE
;
Sung Soo KIM
Author Information
1. Institute of Vision and Research, Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea. semekim@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
TSV (Transconjunctival Sutureless Vitrectomy);
microcannula;
insertion trocar;
aspiration rate;
infusion rate
- MeSH:
Adult;
Aged;
Child, Preschool;
Female;
Follow-Up Studies;
Humans;
Male;
Middle Aged;
Retina/*surgery;
Retinal Diseases/*surgery;
Retrospective Studies;
Visual Acuity;
Vitrectomy/*instrumentation/*methods;
Vitreous Body/*surgery
- From:Yonsei Medical Journal
2004;45(4):615-620
- CountryRepublic of Korea
- Language:English
-
Abstract:
This report presents the effectiveness of 25-gauge Transconjunctival Sutureless Vitrectomy (TSV) for various vitreoretinal disorders. We performed vitreoretinal surgery on 6 patients using 25-gauge TSV. Minimal or no leakage of intraocular fluid or gas was observed at the entry site. No case required a suture to close the conjunctival or scleral opening site, and no complications resulted from the opening site. Median preoperative visual acuity was 0.04 and median postoperative best corrected visual acuity (BCVA) with a mean follow-up of 12 weeks, was 0.45. Median preoperative intraocular pressure was 12.67mmHg, and median intraocular pressure on the first postoperative day was 15.67 mmHg. Because transconjunctival sutureless surgery is minimally invasive, it increases the efficiency of vitrectomy, hastens postoperative recovery, and improves outcomes due to the simplified surgical procedure. We feel that the adoption of the 25-gauge TSV would lead to improved patient comfort, care, and management.
