April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Effect of Partial Air Fluid Exchange on Immediate Post-operative Sclerotomy Wound Competence in Microincisional Vitrectomy
Author Affiliations & Notes
  • Jorge A. Fortun
    Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida
  • Chris S. Bergstrom
    Department of Ophthalmology, Emory Eye Center, Emory University School of Medicine, Atlanta, Georgia
  • Jiong Yan
    Department of Ophthalmology, Emory Eye Center, Emory University School of Medicine, Atlanta, Georgia
  • Sunil K. Srivastava
    Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio
  • Thomas A. Aaberg, Sr.
    Department of Ophthalmology, Emory Eye Center, Emory University School of Medicine, Atlanta, Georgia
  • Timothy W. Olsen
    Department of Ophthalmology, Emory Eye Center, Emory University School of Medicine, Atlanta, Georgia
  • Daniel F. Martin
    Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio
  • G. Baker Hubbard, III
    Department of Ophthalmology, Emory Eye Center, Emory University School of Medicine, Atlanta, Georgia
  • Footnotes
    Commercial Relationships  Jorge A. Fortun, None; Chris S. Bergstrom, None; Jiong Yan, None; Sunil K. Srivastava, None; Thomas A. Aaberg, Sr., None; Timothy W. Olsen, None; Daniel F. Martin, None; G. Baker Hubbard, III, None
  • Footnotes
    Support  Grant from Research to Prevent Blindness
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 2128. doi:https://doi.org/
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      Jorge A. Fortun, Chris S. Bergstrom, Jiong Yan, Sunil K. Srivastava, Thomas A. Aaberg, Sr., Timothy W. Olsen, Daniel F. Martin, G. Baker Hubbard, III; Effect of Partial Air Fluid Exchange on Immediate Post-operative Sclerotomy Wound Competence in Microincisional Vitrectomy. Invest. Ophthalmol. Vis. Sci. 2011;52(14):2128. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : 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

Methods: : 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.

Results: : 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).

Conclusions: : 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.

Keywords: vitreoretinal surgery • endophthalmitis • wound healing 
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