Retinal detachment surgery with silicone oil injection in transconjunctival sutureless 23-gauge vitrectomy

Siqueira, Rubens Camargo; Gil, Aline Degasperi Cote; Jorge, Rodrigo

doi:10.1590/s0004-27492007000600004

Cited by 24 publications

(15 citation statements)

References 9 publications

(15 reference statements)

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“…This is probably because of the high viscosity of the oil that cannot easily be expressed through a small incision, although other authors have seen occasional oil extrusion through a 25-gauge opening in larger silicone oil series. 9,16 To inject oil, we enlarged the wound, although new high-pressure 25-gauge infusion lines or the use of an angiocath may obviate this need. 9,16,17 Hypotony has been reported by several authors as one of the major complications of sutureless vitrectomy.…”

Section: Discussionmentioning

confidence: 99%

“…9,16 To inject oil, we enlarged the wound, although new high-pressure 25-gauge infusion lines or the use of an angiocath may obviate this need. 9,16,17 Hypotony has been reported by several authors as one of the major complications of sutureless vitrectomy. 5,6,18 Wound design, particularly an angled insertion, can minimize the risk of postoperative hypotony or low pressure.…”

Section: Discussionmentioning

confidence: 99%

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Use of 25-Gauge Vitrectomy in the Management of Primary Rhegmatogenous Retinal Detachment

Mura¹,

Tan²,

Smet³

2009

Retina

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Use of 25-Gauge Vitrectomy in the Management of Primary Rhegmatogenous Retinal Detachment

Mura¹,

Tan²,

Smet³

2009

Retina

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“…Recently, a SO leakage rate of 9.7% to necessitate its removal was reported in a series of 23-gauge TSV. [18] SO leakage into the subconjunctival space may be associated with some problems such as reduced SO endotamponade effect, postoperative discomfort, and interference with subsequent glaucoma filtering surgery. Some aspects have to be considered to avoid this complication.…”

Section: Discussionmentioning

confidence: 99%

Surgical outcomes of transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection

Erakgün

Eğrilmez

2009

Indian J Ophthalmol

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AimsTo evaluate the outcomes and complications of 23-gauge transconjunctival sutureless vitrectomy (TSV) with Silicone oil (SO) tamponade in complex vitreoretinal diseases.Settings and DesignEge university hospital ophthalmology department. Retrospective case series.Materials and MethodsForty eyes of 40 patients with diabetic tractional retinal detachment (DTRD) and proliferative vitreoretinopathy (PVR) were included in the study. Vitrectomy using 23-gauge system with SO endotamponade was performed. Peroperative and postoperative complications, anatomical and visual results were evaluated.Statistical analysis usedPaired Student's t-test.ResultsSimultaneous cataract surgery was performed in 17 eyes. Peroperative complications were posterior capsule rupture during phacoemulsification in one patient, vitreous and retinal incarceration in one patient. One eye required suture placement at the end of surgery due to SO leakage. Postoperatively, a small subconjunctival SO bubble in three patients, and hypotony in one patient (6 mmHg) were observed. Recurrent retinal detachment under SO occurred in one patient. Mean follow-up was 6.5 months (±2.7). Pre- and postoperative mean visual acuity was 2.22±0.91 logMAR and 1.11±0.8 logMAR, respectively (P<0.001). Mean intraocular pressure (IOP) on the first postoperative day was lower than preoperative IOP (11.3 ±3.2 versus 14.0 ±2.4 mmHg) (P<0.001).ConclusionsTwenty-three gauge instrumentation seems to be feasible, effective and safe for vitrectomy with SO injection in DTRD and PVR, and can be considered in the surgical management of these complex vitreoretinal diseases.

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“…2,3 Subsequently, 23-gauge TSV was introduced by Eckardt et al 4 to combine the beneficial features of both the 20-and 25-gauge vitrectomy systems. 3 As it has only recently been developed, studies on the efficacy and safety of 23-gauge TSV have been limited, [5][6][7][8][9][10][11] and few comprehensive comparisons with conventional 20-gauge vitrectomy for limited indications of vitrectomy have been performed. 12,13 Specifically, in regard to postoperative hypotony or hypertony, although those are the major complications of vitrectomy, there have been few comparative studies with inconclusive number of patients.…”

Section: Introductionmentioning

confidence: 99%

Comparison of postoperative intraocular pressure changes between 23-gauge transconjunctival sutureless vitrectomy and conventional 20-gauge vitrectomy

Ahn

Woo

Ahn

et al. 2012

Eye

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Purpose To compare the intraocular pressure (IOP) after 23-gauge transconjunctival sutureless vitrectomy (TSV) and conventional 20-gauge vitrectomy for various vitreoretinal diseases. Methods This was a retrospective interventional case series including 338 cases of 23-gauge TSV and 476 cases of 20-gauge vitrectomy with minimum follow-up period of 1 month. Postoperative 1 day, 1 week and 1 month IOPs were compared. Multiple regression analysis to assess the actual effect of gauge of vitrectomy on postoperative IOP was performed including intraoperative and postoperative factors influencing postoperative IOP as covariates.Results The mean IOP of 20-gauge vitrectomy was significantly higher than that of 23-gauge TSV (20.6±8.02 mm Hg vs 12.8±4.48 mm Hg, Po0.001) at postoperative day 1, but the differences were not significant at postoperative 1 week and 1 month. The IOP pattern of 23-gauge TSV demonstrated more stable course than that of 20-gauge vitrectomy. At 1 day post vitrectomy, the incidence of hypertony was higher in 20-gauge, whereas that of hypotony was higher in 23-gauge. Among risk factors, the 20-gauge vitrectomy showed the strongest association with postoperative 1 day IOP rise. Conclusion Twenty-three-gauge TSV has stable and lower IOP in the early postoperative period than the 20-gauge vitrectomy. In patients whose retina and optic nerves are vulnerable to higher or fluctuating IOP, 23-gauge TSV may be more beneficial.

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Retinal detachment surgery with silicone oil injection in transconjunctival sutureless 23-gauge vitrectomy

Abstract: The retinal detachment surgery with silicone oil injection in transconjunctival sutureless 23-gauge vitrectomy is a safe and efficient technique to repair retinal detachment and it has the advantage of being minimally invasive.

Cited by 24 publications

References 9 publications

Use of 25-Gauge Vitrectomy in the Management of Primary Rhegmatogenous Retinal Detachment

Use of 25-Gauge Vitrectomy in the Management of Primary Rhegmatogenous Retinal Detachment

Surgical outcomes of transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection

Comparison of postoperative intraocular pressure changes between 23-gauge transconjunctival sutureless vitrectomy and conventional 20-gauge vitrectomy

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