March 2012
Volume 53, Issue 14
Free
ARVO Annual Meeting Abstract  |   March 2012
Long-term Outcomes Of Vitreous Floaters Management With 23 Gauge Transconjunctival Sutureless Vitrectomy
Author Affiliations & Notes
  • Adriana Kovacova
    Ophthalmology, Broomfield Hospital, Chelmsford, United Kingdom
  • Minas Georgopoulos
    Ophthalmology, Queen Elizabeth II Hospital, Welwyn Garden City, United Kingdom
  • Gregory O. Ho-Yen
    Ophthalmology, Addenbrookes Hospital, Cambridge, United Kingdom
  • Malhar Soni
    Ophthalmology, Consultant Vitreo-retinal surgeon, London, United Kingdom
  • Footnotes
    Commercial Relationships  Adriana Kovacova, None; Minas Georgopoulos, None; Gregory O. Ho-Yen, None; Malhar Soni, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science March 2012, Vol.53, 3752. doi:
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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)

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Abstract

Purpose: : To evaluate the anatomical and visual outcomes of 23-gauge transconjunctival sutureless vitrectomy for chronic vitreous floaters.

Methods: : 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.

Results: : 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.

Conclusions: : 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.

Keywords: vitreoretinal surgery • vitreous • visual acuity 
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