Original ArticleOutcomes of 77 Consecutive Cases of 23-Gauge Transconjunctival Vitrectomy Surgery for Posterior Segment Disease
Section snippets
Materials and Methods
Approval was obtained from the Lenox Hill Hospital institutional review board for this study. All subjects signed an informed consent document before surgery. All surgical cases performed by a single surgeon (RFS) at a single site from October 2004 through October 2005 were included. Data abstracted from these consecutive charts included patient age, date of operation, indication for surgery, operative eye, visual acuity (VA) (preoperative visit, postoperative day 1, monthly postoperative
Results
All 77 patients (39 female, 38 male) were followed for a minimum of 3 months, or additional information was obtained from the referring physician in cases with <3 months’ follow-up. Mean follow-up time (± standard deviation) was 244±125 days. There were 42 right and 35 left eyes in this group. Indications for surgery (number of eyes) were epiretinal membrane (20), macular hole (18), rhegmatogenous RD (14), tractional RD (12), vitreomacular traction (4), retained lens fragments (4), nonclearing
Discussion
Twenty-three–gauge vitrectomy systems were introduced to provide sutureless transconjunctival surgery similar to that of 25-gauge systems, but with instrument functionality and stiffness that more closely mirror traditional 20-gauge systems. The sclerotomy wound is constructed in a manner different from that of either 20- or 25-gauge, which typically enters the eye normal to the scleral surface, producing a full-thickness hole in the sclera. In 20-gauge surgery, the hole is so large that it
References (16)
- et al.
Modified sutureless sclerotomies in pars plana vitrectomy
Am J Ophthalmol
(1999) Modified sutureless sclerotomies in pars plana vitrectomy
Am J Ophthalmol
(2000)- et al.
A novel technique for self-sealing, wedge-shaped pars plana sclerotomies and its features in ultrasound biomicroscopy and clinical outcome
Am J Ophthalmol
(2003) - et al.
Corneal topographic changes after transconjunctival (25-gauge) sutureless vitrectomy
Am J Ophthalmol
(2005) - et al.
Outcomes of 140 consecutive cases of 25-gauge transconjunctival surgery for posterior segment disease
Ophthalmology
(2005) - et al.
Sutureless vitrectomy surgery
Ophthalmology
(2003) - et al.
Sutureless vitrectomy surgery
Ophthalmology
(2003) - et al.
Longer-term outcomes of transconjunctival sutureless 25-gauge vitrectomy
Am J Ophthalmol
(2005)
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Manuscript no. 2006-618.
No authors have any proprietary interests in any of the devices mentioned in the article. The work was supported in part by a Heed Foundation (Cleveland, Ohio) Fellowship (to HFF) and a grant from the Macula Foundation, Inc., New York, New York.