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The safety and efficacy of transconjunctival sutureless 23-gauge vitrectomy.

Kim MJ, Park KH, Hwang JM, Yu HG, Yu YS, Chung H - Korean J Ophthalmol (2007)

Bottom Line: Intraoperative suture placement was necessary in 3 eyes (7.5%).The median BCVA improved from 20/400 (LogMAR, 1.21+/-0.63) to 20/140 (LogMAR, 0.83+/-0.48) at 1 week (p=0.003), 20/100 (LogMAR, 0.85+/-0.65) at 1 month (p=0.002), 20/100 (LogMAR, 0.73+/-0.6) at 3 months (p=0.001).In 1 eye, IOP was 5 mmHg at 2 hours and 4 mmHg at 5 hours, but none of the eyes showed hypotony after 1 postoperative day.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To evaluate the efficacy and safety of vitreoretinal surgery using a 23-gauge transconjunctival sutureless vitrectomy (TSV) system for various vitreoretinal diseases.

Methods: A retrospective, consecutive, interventional case series was performed for 40 eyes of 40 patients. The patients underwent vitreoretinal procedures using the 23-gauge TSV system, including idiopathic epiretinal membrane (n=7), vitreous hemorrhage (n=11), diabetic macular edema (n=10), macular hole (n=5), vitreomacular traction syndrome (n=5), diabetic tractional retinal detachment (n=1), and rhegmatogenous retinal detachment (n=1). Best corrected visual acuity (BCVA), intraocular pressure (IOP), and intra- and post-operative complications were evaluated.

Results: Intraoperative suture placement was necessary in 3 eyes (7.5%). The median BCVA improved from 20/400 (LogMAR, 1.21+/-0.63) to 20/140 (LogMAR, 0.83+/-0.48) at 1 week (p=0.003), 20/100 (LogMAR, 0.85+/-0.65) at 1 month (p=0.002), 20/100 (LogMAR, 0.73+/-0.6) at 3 months (p=0.001). In 1 eye, IOP was 5 mmHg at 2 hours and 4 mmHg at 5 hours, but none of the eyes showed hypotony after 1 postoperative day. No serous postoperative complications were observed during a mean follow-up of 8.4+/-3.4 months (range 3-13 months)

Conclusions: The 23-gauge TSV system shows promise as an effective and safe technique for a variety of vitreoretinal procedures. It appears to be a less traumatic, more convenient alternative to 20-gauge vitrectomy in some indications.

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Related in: MedlinePlus

Visual acuity in logarithm of the minimal angle of resolution (LogMAR) units observed preoperatively and postoperatively at 1 week and 1, 3 and 6 months following surgery. Visual improvement was noted at 1 week and 1, 3 and 6 months following 23-gauge transconjunctival sutureless vitrectomy (Wilcoxon signed rank test, P < .05). Preop; preoperative, wk; week, mo; month.
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Figure 3: Visual acuity in logarithm of the minimal angle of resolution (LogMAR) units observed preoperatively and postoperatively at 1 week and 1, 3 and 6 months following surgery. Visual improvement was noted at 1 week and 1, 3 and 6 months following 23-gauge transconjunctival sutureless vitrectomy (Wilcoxon signed rank test, P < .05). Preop; preoperative, wk; week, mo; month.

Mentions: The median best corrected visual acuity (BCVA) improved from 20/400 (LogMAR, 1.21±0.63) preoperatively to 20/140 (LogMAR, 0.83±0.48) at 1 week (p=0.003), 20/100 (LogMAR, 0.85±0.65) at 1 month (p=0.002), 20/100 (LogMAR, 0.73±0.6) at 3 months (p=0.001) and 20/100 (LogMAR, 0.68±0.36) at 6 months postoperatively (p<0.0001) (Fig. 3).


The safety and efficacy of transconjunctival sutureless 23-gauge vitrectomy.

Kim MJ, Park KH, Hwang JM, Yu HG, Yu YS, Chung H - Korean J Ophthalmol (2007)

Visual acuity in logarithm of the minimal angle of resolution (LogMAR) units observed preoperatively and postoperatively at 1 week and 1, 3 and 6 months following surgery. Visual improvement was noted at 1 week and 1, 3 and 6 months following 23-gauge transconjunctival sutureless vitrectomy (Wilcoxon signed rank test, P < .05). Preop; preoperative, wk; week, mo; month.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2629884&req=5

Figure 3: Visual acuity in logarithm of the minimal angle of resolution (LogMAR) units observed preoperatively and postoperatively at 1 week and 1, 3 and 6 months following surgery. Visual improvement was noted at 1 week and 1, 3 and 6 months following 23-gauge transconjunctival sutureless vitrectomy (Wilcoxon signed rank test, P < .05). Preop; preoperative, wk; week, mo; month.
Mentions: The median best corrected visual acuity (BCVA) improved from 20/400 (LogMAR, 1.21±0.63) preoperatively to 20/140 (LogMAR, 0.83±0.48) at 1 week (p=0.003), 20/100 (LogMAR, 0.85±0.65) at 1 month (p=0.002), 20/100 (LogMAR, 0.73±0.6) at 3 months (p=0.001) and 20/100 (LogMAR, 0.68±0.36) at 6 months postoperatively (p<0.0001) (Fig. 3).

Bottom Line: Intraoperative suture placement was necessary in 3 eyes (7.5%).The median BCVA improved from 20/400 (LogMAR, 1.21+/-0.63) to 20/140 (LogMAR, 0.83+/-0.48) at 1 week (p=0.003), 20/100 (LogMAR, 0.85+/-0.65) at 1 month (p=0.002), 20/100 (LogMAR, 0.73+/-0.6) at 3 months (p=0.001).In 1 eye, IOP was 5 mmHg at 2 hours and 4 mmHg at 5 hours, but none of the eyes showed hypotony after 1 postoperative day.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To evaluate the efficacy and safety of vitreoretinal surgery using a 23-gauge transconjunctival sutureless vitrectomy (TSV) system for various vitreoretinal diseases.

Methods: A retrospective, consecutive, interventional case series was performed for 40 eyes of 40 patients. The patients underwent vitreoretinal procedures using the 23-gauge TSV system, including idiopathic epiretinal membrane (n=7), vitreous hemorrhage (n=11), diabetic macular edema (n=10), macular hole (n=5), vitreomacular traction syndrome (n=5), diabetic tractional retinal detachment (n=1), and rhegmatogenous retinal detachment (n=1). Best corrected visual acuity (BCVA), intraocular pressure (IOP), and intra- and post-operative complications were evaluated.

Results: Intraoperative suture placement was necessary in 3 eyes (7.5%). The median BCVA improved from 20/400 (LogMAR, 1.21+/-0.63) to 20/140 (LogMAR, 0.83+/-0.48) at 1 week (p=0.003), 20/100 (LogMAR, 0.85+/-0.65) at 1 month (p=0.002), 20/100 (LogMAR, 0.73+/-0.6) at 3 months (p=0.001). In 1 eye, IOP was 5 mmHg at 2 hours and 4 mmHg at 5 hours, but none of the eyes showed hypotony after 1 postoperative day. No serous postoperative complications were observed during a mean follow-up of 8.4+/-3.4 months (range 3-13 months)

Conclusions: The 23-gauge TSV system shows promise as an effective and safe technique for a variety of vitreoretinal procedures. It appears to be a less traumatic, more convenient alternative to 20-gauge vitrectomy in some indications.

Show MeSH
Related in: MedlinePlus