April 2010
Volume 51, Issue 13
ARVO Annual Meeting Abstract  |   April 2010
Is Postoperatory Eye Padding Necessary After Small Gauge Vitrectomy?
Author Affiliations & Notes
  • A. Ortiz Gonzalez
    Retina, APEC, Mexico City, Mexico
  • J. Jimenez-Sierra
    Retina, APEC, Mexico City, Mexico
  • V. Morales-Canton
    Retina, APEC, Mexico City, Mexico
  • M. Martinez-Castellanos
    Retina, APEC, Mexico City, Mexico
    Retina, Instituto de Seguridad Social del Estado de Mexico y Municipios ISSEMYM, Toluca, Mexico
  • J. De La Luz-Osnaya
    Retina, Instituto de Seguridad Social del Estado de Mexico y Municipios ISSEMYM, Toluca, Mexico
  • Footnotes
    Commercial Relationships  A. Ortiz Gonzalez, None; J. Jimenez-Sierra, None; V. Morales-Canton, None; M. Martinez-Castellanos, None; J. De La Luz-Osnaya, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2010, Vol.51, 2574. doi:
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      A. Ortiz Gonzalez, J. Jimenez-Sierra, V. Morales-Canton, M. Martinez-Castellanos, J. De La Luz-Osnaya; Is Postoperatory Eye Padding Necessary After Small Gauge Vitrectomy?. Invest. Ophthalmol. Vis. Sci. 2010;51(13):2574.

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

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Purpose: : To describe the postoperative outcome of 23-gauge vitrectomy without eye padding.

Methods: : Were included 217 eyes who underwent pars plana vitrectomy (PPV) from May to November 2009. All the procedures were performed with 23 gauge vitrectomy with Accurus Surgical System (Alcon)® and visualization with precorneal contact lens with topical anesthesia or peribulbar block. All adult patients with uneventful vitrectomy were included. After surgery the eye was left open without patch; the cases that required face down position a clear translucent shield was use. All the eyes received same antibiotic and anti-inflammatory drop therapy. We measured corneal epithelial defects with fluorescein staining and conjunctival inflammation in the first 24 hrs.

Results: : The indications of PPV were: 173 proliferative diabetic retinopathy, 13 regmatogenous retinal detachment with no scleral buckle, 12 macular hole, 7 epiretinal membrane, 6 vitreous hemorrhage for other causes than PDR, 3 lens luxation after phaco, 2 IOL luxation and one vitreous biopsy. After surgery, 2 patients presented discharge in lids and conjunctiva, 6 patients mild inferior punctate keratopathy. No other findings were recorded. The assessment of comfort is notoriously difficult and inaccurate, but 58 patients complain transient photofobia, 12 patients mild pain, 3 foreign body sensation and one transient diplopia.

Conclusions: : Not padding the aye after an uneventful small gauge vitrectomy seems to be safe, with the advantage that topical treatment should be started right a way. The patients with special position after surgery that used a clear shield without a pad had no reduction.

Keywords: vitreoretinal surgery • wound healing • clinical (human) or epidemiologic studies: outcomes/complications 

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