Dynamic Evaluation of Sutureless Vitrectomy Wounds: An Optical Coherence Tomography and Histopathology Study

Taban, Mehran; Ventura, Alexandre A.C.M.; Sharma, Sumit; Kaiser, Peter K.

doi:10.1016/j.ophtha.2008.08.027

Cited by 65 publications

(37 citation statements)

References 48 publications

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“…Moreover, an ocular coherence tomographic and histopathological study demonstrated that angled incisions offer superior wound apposition under dynamic IOP conditions. 20 In addition, anterior segment OCT has demonstrated, in vivo, adequate wound apposition on the first post-operative day with oblique 23-gauge sclerostomy incisions. 21 It is noteworthy that, in keeping with our results, there are no published studies demonstrating an increased risk of endophthalmitis associated with the 23-gauge system.…”

Section: Discussionmentioning

confidence: 98%

Combined 23-gauge, sutureless transconjunctival vitrectomy with phacoemulsification without face down posturing for the repair of idiopathic macular holes

Heath

Rahman

2010

Eye

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Section: Discussionmentioning

confidence: 98%

Combined 23-gauge, sutureless transconjunctival vitrectomy with phacoemulsification without face down posturing for the repair of idiopathic macular holes

Heath

Rahman

2010

Eye

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“…Taban et al [40] stress the importance of creating oblique incisions as opposed to straight incisions in studies with anterior segment optical coherence tomography. In 20-gauge transconjunctival sutureless vitrectomy the oblique incisions provide adequate wound apposition as shown by optical coherence tomography even on the day of operation [41].…”

Section: Discussionmentioning

confidence: 99%

Safety of 20-Gauge Transconjunctival Sutureless Vitrectomy

Papaefthymiou

Petropoulos²,

Mangioris³

et al. 2013

Ophthalmologica

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Purpose: To study the safety of 20-gauge transconjunctival sutureless vitrectomy. Methods: Clinical data of patients who underwent 20-gauge transconjunctival sutureless vitrectomy for the first time, for various disorders, were reviewed retrospectively. The main outcome measures were the number of sclerotomies requiring suturing as well as the intra- and postoperative complications. Results: A total of 179 operations were performed. Indications for vitrectomy included 68 idiopathic epiretinal membranes, 26 macular holes, 23 phakic and 16 pseudophakic retinal detachments, and 46 various other, less common etiologies. Of these 179 operations, 166 (93%) were sutureless. Of the 537 sclerotomies created, 25 (5%) received a single transconjunctival-scleral suture. Intraoperative complications included premature dislodging of the cannulas in 2 sclerotomies and an iatrogenic horseshoe tear at 1 sclerotomy site. Postoperative complications comprised transient hypotony in 14 cases, subconjunctival gas in 2 cases, and choroidal effusion in 1 case. No serious complications (such as endophthalmitis) were observed. Conclusion: 20-gauge transconjunctival sutureless vitrectomy can be considered safe, as the intra- and postoperative complications observed are neither numerous nor significant. Sclerotomies appear to be safe and relatively easy to perform, without compromising the advantages of sutureless surgery.

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“…4C) but to an exudative retinal detachment induced by suprachoroidal FG. In some studies, 1,21,22 optical coherence tomography has been effectively used for dynamic detection of in vivo fundus changes in animals, but it was not used in this study.…”

Section: Discussionmentioning

confidence: 99%