Primary 23 Gauge Transconjunctival Sutureless Vitrectomy With Air Tamponade for Simple Rhegmatogenous Retinal Detachment.
10.3341/jkos.2011.52.2.190
- Author:
Oh Jae KIM
1
;
Tae Gon LEE
;
Sung Jin NA
Author Information
1. Department of Ophthalmology, Konyang University Hospital, Daejeon, Korea. said8@hanmail.net
- Publication Type:Original Article
- Keywords:
Air tamponade;
Primary vitrectomy;
Retinal detachment;
23-Gauge transconjunctival sutureless vitrectomy
- MeSH:
Cataract;
Epiretinal Membrane;
Eye;
Humans;
Intraocular Pressure;
Retinal Detachment;
Retinaldehyde;
Retrospective Studies;
Visual Acuity;
Vitrectomy;
Vitreous Hemorrhage
- From:Journal of the Korean Ophthalmological Society
2011;52(2):190-196
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the surgical outcomes of primary 23-gauge (23G) transconjunctival sutureless vitrectomy (TSV) with air tamponade in patients with idiopathic simple rhegmatogenous retinal detachment (RRD). METHODS: A chart review of 38 eyes with idiopathic simple RRD which underwent primary 23G TSV with air tamponade and without prone positioning by a single vitreoretinal surgeon was retrospectively performed. All cases were followed up for a minimum of 3 months after the operation. RESULTS: The primary anatomical success rate was 94.7% (36/38 eyes). Preoperative mean logMAR (Snellen) best corrected visual acuity (BCVA) was 0.81 +/- 0.13 and improved to 0.63 +/- 0.37 and 0.48 +/- 0.37 at postoperative 1 week and 3 months (p < 0.05), respectively. The mean 21.35% amount of air bubble remained in the vitreous cavity at postoperative 1 week and the residual air bubble was completely absorbed at postoperative 2 weeks. Complications were sclerotomy site leakage (1 eye), cataract (3 eyes), vitreous hemorrhage (1 eye), epiretinal membrane (2 eyes) and increased intraocular pressure (3 eyes). CONCLUSIONS: The use of 23G TSV with air tamponade in cases with idiopathic simple RRD may be an effective and safe surgical technique.
