Suprachoroidal fluid as a complication of 23-gauge vitreous surgery

Ooto, Sotaro; Kimura, Daisaku; Itoi, Kazumi; Mukuno, Hirokazu; Kusuhara, Sentaro; Miyamoto, Noriko; Akimoto, Masayuki; Takagi, Hitoshi

doi:10.1136/bjo.2007.133462

Cited by 20 publications

(25 citation statements)

References 4 publications

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“…17 In an analysis of the wound closure of the sclerotomies by anterior segment OCT, Taban et al 18 report a shallow choroidal effusion, not seen clinically, in the case of hypotony. Choroidal effusion is transitory, peripheral, and linked to hypotony; it resolves without any treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Choroidal effusion is transitory, peripheral, and linked to hypotony; it resolves without any treatment. [17][18] The construction of the transconjunctival incision and of the sclerotomies (sufficiently oblique and long) is important to keep the sclerotomies self-sealed. The sclerotomy wounds seem closed on postoperative days 1 and 8, 18 but some contamination of the entire length of the incision by the ocular surface fluid could occur.…”

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: 99%

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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“…One patient operated on using 23-G TSV had IOP of 8 mmHg on day 1 with no choroidal detachment and returned to normal IOP values (10 mmHg) on day 2. In the 20-G group, eight patients had IOP higher than 21 mmHg (range, 24-40 mmHg) versus six patients in the 23-G group (range, [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40]. In all patients, intraocular hypertension was then controlled by topical and/or systemic hypotensive treatment.…”

Section: Early Postoperative Complicationsmentioning

confidence: 99%

Comparative study of 23-gauge vitrectomy versus 20-gauge vitrectomy for the treatment of rhegmatogenous retinal detachment

Albrieux

Rouberol

Bernheim

et al. 2011

Graefes Arch Clin Exp Ophthalmol

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“…The trocar cannula of the 23-gauge system has been reported to have some difficulties in creating scleral ports including the presence of suprachoroidal fluid as an intra-operative complication and hypotony as a postoperative complication after 23-gauge MIVS [15,16,17,18,19]. However, we cannot simply compare the result of 25-gauge MIVS with that of 23-gauge MIVS.…”

Section: Discussionmentioning

confidence: 72%

“…The 20-gauge instruments have not only a 4-mm infusion cannula but also a 6-mm infusion cannula which can perforate the sclera and choroid more easily. On the other hand, suprachoroidal fluid cannot effuse from the trocar cannula of the 23- and 25-gauge instruments, although suprachoroidal fluid has been demonstrated to also be a complication of 23-gauge MIVS [15]. …”

Section: Discussionmentioning

confidence: 99%

Difficulty in Inserting 25- and 23-Gauge Trocar Cannula during Vitrectomy

Kunikata

Nitta²,

Meguro³

et al. 2011

Ophthalmologica

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Purpose: To determine the incidence of difficulty in inserting a 25- and 23-gauge trocar cannula (DITC) during 25- or 23-gauge micro-incision vitrectomy surgery (MIVS). Methods: Retrospective, consecutive, interventional case series performed by a single surgeon at a single centre. We defined a DITC as the condition where at least 1 trocar cannula could not be inserted into the vitreous at the beginning of MIVS. The incidence of DITC was calculated from 1,525 eyes, and the pre-operative demographics of the DITC cases were compared to those of the non-DITC cases. Results: The incidence of DITC for all cases was 0.6% (9 of 1,525 eyes). Overall, there were 242 eyes with a retinal detachment (RD), and 8 of the 9 eyes with DITC had an RD with an incidence of 3.3% (8 of 242 RD eyes). Seven of these 8 eyes had a total RD, 4 also had a choroidal detachment, 4 eyes were also myopic (>–8.0 dpt, high myopia), and 6 of the 8 eyes were hypotonic (<8 mm Hg). The DITC cases had larger RDs (p < 0.0001), a higher incidence of choroidal detachment (p < 0.0001), higher myopia (p = 0.0204) and hypotony (p = 0.0003) than the non-DITC eyes with an RD. Conclusions: A large RD, a choroidal detachment, high myopia and hypotony are significant risk factors for DITC. We recommend that MIVS should be performed cautiously for eyes with these risk factors.

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Suprachoroidal fluid as a complication of 23-gauge vitreous surgery

Cited by 20 publications

References 4 publications

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

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

Comparative study of 23-gauge vitrectomy versus 20-gauge vitrectomy for the treatment of rhegmatogenous retinal detachment

Difficulty in Inserting 25- and 23-Gauge Trocar Cannula during Vitrectomy

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