Outcomes of 77 Consecutive Cases of 23-Gauge Transconjunctival Vitrectomy Surgery for Posterior Segment Disease

Fine, Howard F; Iranmanesh, Reza; Iturralde, Diana; Spaide, Richard F.

doi:10.1016/j.ophtha.2007.02.020

Cited by 205 publications

(148 citation statements)

References 14 publications

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“…14 O'Reilly et al reported 25.6% of hypotony that spontaneously resolved without any complications, such as choroidal detachment or endophthalmitis, whereas Fine et al had a rate of 2.5% and used a gas tamponade for 52.9% of the procedures. [15][16] In our study, we have a high rate of transient hypotony linked to the low incidence of gas tamponade use in the procedures (22.8%). It confirms the protective role of gas tamponade against hypotony.…”

Section: Discussionmentioning

confidence: 72%

“…1,[30][31][32][33] The 23-gauge transconjunctival system has the advantages of the 25-gauge vitrectomy with an expansion of the range of indications to complex retinal detachment, diabetic retinopathy, and other vitreoretinal tractions requiring a complete peripheral vitrectomy with scleral depression, as was described in a previous study. 3,15 The rate of vacuum and the level of cut of the vitrector can be adapted to a 23-gauge system as well as the conventional 20-gauge system. The instruments are less flexible than for the 25-gauge system and allow similar movements in the eye as with the 20-gauge system.…”

Section: Discussionmentioning

confidence: 99%

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23-Gauge transconjunctival sutureless pars plana vitrectomy: results of a prospective study

Schweitzer

Colin

et al. 2009

Eye

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Purpose To evaluate results of 23-gauge transconjunctival sutureless vitrectomy in various indications of vitreoretinal diseases. Design Prospective, non-comparative study. Materials and methods Fifty-seven consecutive eyes of 57 patients underwent vitreoretinal surgery by one surgeon using the 23-gauge, two-step instrumentation developed by Dutch Ophthalmic Research Center Inc., for epiretinal membranes (n ¼ 24), macular holes (n ¼ 10), diabetic retinopathy (n ¼ 4), rhegmatogenous retinal detachment (n ¼ 3), silicone oil removal (n ¼ 10), and other procedures (n ¼ 4). Mean operative time and intraoperative and postoperative complications were recorded. At 1 month, postoperative visual acuity, anatomical results, and induced astigmatism measured by Orbscan (BAUSCH and LOMB laboratories Inc., Rochester, NY, USA) were analysed. Results Mean operative time was 32.6±21.5 min. At 1 month, mean visual acuity improved from 1.09±0.82 to 0.80±0.79 logMar. Transient postoperative hypotony was the most common complication (21.1%), resolving without treatment. There was no choroidal effusion; and no postoperative endophthalmitis was observed. There were no significant changes in mean keratometry (P ¼ 0.957), mean axis (P ¼ 0.818), and power of astigmatism (P ¼ 0.860) at 1 month. Conclusions A 23-gauge vitrectomy seems to be safe and effective for a wide range of indications for vitreoretinal surgery. Further studies are needed to compare it with 25-gauge and 20-gauge vitrectomy in larger series.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

23-Gauge transconjunctival sutureless pars plana vitrectomy: results of a prospective study

Schweitzer

Colin

et al. 2009

Eye

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“…Postoperative-wound leak and hypotony have been reported with 25-and 23-gauge transconjunctival vitrectomy systems [1][2][3][4][5] and may be associated with the removal of peripheral vitreous gel. 1 No patient in our series developed hypotony or subconjunctival bleb formation after surgery.…”

Section: Commentmentioning

confidence: 99%

“…The advantages of 23-gauge sutureless transconjunctival vitrectomy compared to conventional 20-gauge vitrectomy are shorter surgical [1][2][3] and recovery time, 1,4 and less postoperative discomfort. 1 We reviewed the outcome of 23-gauge transconjunctival vitrectomy in patients with postoperative endophthalmitis.…”

Section: Introductionmentioning

confidence: 99%

Outcome of 23-gauge sutureless transconjunctival vitrectomy for endophthalmitis

Tan

Wong

Yang

et al. 2007

Eye

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Purpose To review the outcomes of 23-gauge transconjunctival vitrectomy in patients with postoperative endophthalmitis. Methods Non-randomized, interventional case series of patients with postoperative endophthalmitis over a 1-year period.Results 23-gauge transconjunctival vitrectomy was performed on 6 patients with a mean age of 67.7 years without intraoperative or postoperative complications. There were no cases of postoperative hypotony or wound leak. The mean change in IOP was À4.2 mmHg compared to the preoperative IOP (P ¼ 0.239). Final VA improved significantly compared to preoperative VA (P ¼ 0.062), with VA of at least 20/40 in 5 of 6 patients (83.3%). Conclusions 23-gauge transconjunctival vitrectomy is a useful technique for treating postoperative endophthalmitis.

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“…Yine bu sistemde daha küçük skleral kesi olaca¤›ndan yara yerinin iyileflmesi de daha h›zl› olmaktad›r (6)(7)(8). Postoperatif konjonktival enjeksiyon ve a¤r›n›n daha az olmas›, hasta konforunun artmas›, erken postoperatif dönem astigmatizman›n olmamas›, konjonktiva diseksiyonu yap›lmad›¤›ndan limbal hücrelerin zarar görmemesi de TSV'nin avantajlar›ndand›r (6,(11)(12)(13). Ayr›ca kullan›lan mikrokanül sistemi, enstrümanlar›n göz içine tekrarlayan girifllerinin neden olaca¤› hasara karfl› girifl yerini korur.…”

Section: Tart›flmaunclassified