%0 Journal Article
%A Fortun, Jorge A.
%A Bergstrom, Chris S.
%A Yan, Jiong
%A Srivastava, Sunil K.
%A Sr., Thomas A. Aaberg,
%A Olsen, Timothy W.
%A Martin, Daniel F.
%A III, G. Baker Hubbard,
%T  Effect of Partial Air Fluid Exchange on Immediate Post-operative Sclerotomy Wound Competence in Microincisional Vitrectomy
%B Investigative Ophthalmology & Visual Science
%D 2011
%J Investigative Ophthalmology & Visual Science
%V 52
%N 14
%P 2128-2128
%@ 1552-5783
%X    To compare the rate of post-operative sclerotomy wound leakage following transconjunctival 25 -gauge vitrectomy in eyes with a partial air-fluid exchange versus no air tamponade     Retrospective, consecutive case series of all epiretinal membrane cases that underwent transconjuntival 25 gauge-vitrectomy at a single institution over a three year period. Operative reports were reviewed. All cases were performed using the same 25-gauge system. In each case the surgeon sutured a sclerotomy site when a clinically significant leak was evident following removal of the trocar cannulas.     A total of 181 eyes were identified. 35% (14/40) of eyes without air tamponade had one or more sclerotomies sutured at the conclusion of the case. 12% of eyes (17/141) in which a partial air fluid exchange was performed necessitated suturing of one or more sclerotomies sutured at the conclusion of the case. Fisher’s exact test showed a statistically significant difference in the number of sclerotomy site leaks between the two groups (p= 0.0016).     Partial air-fluid exchange at the conclusion of 25-gauge transconjunctival vitrectomy cases led to a statistically significant reduction of sclerotomy wound leaks necessitating post-operative suturing when compared to fluid filled eyes.   
%[ 1/28/2021