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L. Oliveira, P. C. Reis; Transconjunctival Vitrectomy in Giant Retinal Tear. Invest. Ophthalmol. Vis. Sci. 2007;48(13):5739.
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To describe 6 consecutive patients treated with 23 gauge sutureless transconjunctival vitrectomy (23g - TCV) and intraocular tamponade for giant retinal tears (GRT).
Prospective case series. Six patients (6 highly myopic eyes) ranged from 22 to 57 years-old, with giant retinal tear were submitted to sutureless 23g - TCV with no adjunctive scleral buckle. Five out of 6 were treated with silicone oil tamponade. Length of post operative follow up ranged from 6 -18 months. Preoperatively 2 out 6 eyes presented macula-on retinal detachment.
At the postoperative, none of the eyes had hypotony or leakage of silicone oil through the sclerotomies. All of 6 eyes evolved with anatomic success; improved or maintained preoperative vision. Final visual acuity range from 20/25 to 20/200.
Twenty three gauge transconjunctival vitrectomy (23g - TCV) with intraocular tamponade and no buckle procedure demonstrated to be effective in the treatment of giant retinal tears.
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