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Adriana Kovacova, Minas Georgopoulos, Gregory O. Ho-Yen, Malhar Soni; Long-term Outcomes Of Vitreous Floaters Management With 23 Gauge Transconjunctival Sutureless Vitrectomy. Invest. Ophthalmol. Vis. Sci. 2012;53(14):3752.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the anatomical and visual outcomes of 23-gauge transconjunctival sutureless vitrectomy for chronic vitreous floaters.
Retrospective analysis of a consecutive case series. 10 eyes of 10 consecutive patients underwent 23-gauge transconjunctival sutureless vitrectomy or phaco-vitrectomy surgery for vitreous floaters of more than 6 months duration. The main outcome measures were visual acuity and surgical complications at six months follow-up.
Mean age was 69 years. There were 5 eyes with asteroid hyalosis and 5 eyes with large chronic floaters secondary to posterior vitreous detachment. Eight eyes underwent phaco-vitrectomy and two eyes were pseudophakic prior to surgery. The mean pre-operative visual acuity of 0.33 improved to mean post-operative visual acuity of 0.15. One patient required per-operative cryotherapy and gas tamponade for iatrogenic break. Mean post-op IOP on day one was 14 mm of Hg. Mean follow-up was 8.5 months. None of the patients developed post operative endophthalmitis or post-operative hypotony or any other complications. All patients were happy with final visual outcome.
23 gauge phaco-vitrectomy is a safe and effective method in the management of vitreous floaters due asteroid hyalosis and posterior vitreous detachment. A high anatomical and visual success can be achieved with 23 gauge transconjunctival vitrectomy surgery without short-term or long-term post-operative complications.
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