May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Outcomes of 23-Gauge Vitrectomy Surgery for Primary Closure of Macular Holes
Author Affiliations & Notes
  • J. Chang
    New England Eye Center, Tufts-New England Medical Center, Boston, Massachusetts
  • T. W. Wiegand
    New England Eye Center, Tufts-New England Medical Center, Boston, Massachusetts
  • C. R. Baumal
    New England Eye Center, Tufts-New England Medical Center, Boston, Massachusetts
  • A. H. Rogers
    New England Eye Center, Tufts-New England Medical Center, Boston, Massachusetts
  • E. Reichel
    New England Eye Center, Tufts-New England Medical Center, Boston, Massachusetts
  • J. S. Duker
    New England Eye Center, Tufts-New England Medical Center, Boston, Massachusetts
  • Footnotes
    Commercial Relationships  J. Chang, None; T.W. Wiegand, None; C.R. Baumal, None; A.H. Rogers, None; E. Reichel, None; J.S. Duker, Alcon, C.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 5969. doi:https://doi.org/
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    • Get Citation

      J. Chang, T. W. Wiegand, C. R. Baumal, A. H. Rogers, E. Reichel, J. S. Duker; Outcomes of 23-Gauge Vitrectomy Surgery for Primary Closure of Macular Holes. Invest. Ophthalmol. Vis. Sci. 2008;49(13):5969. doi: https://doi.org/.

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

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Abstract

Purpose: : To describe the initial experience, effectiveness, and safety profile of 23-gauge pars plana vitrectomy for primary closure of macular holes.

Methods: : A single-center, retrospective, noncomparative, interventional case series was conducted of the initial 13 consecutive patients (14 eyes) who underwent 23-gauge transconjunctival sutureless vitrectomy by 5 surgeons from May 2007 through October 2007.

Results: : Anatomic closure rate based on optical coherence tomography was eighty-six percent (12 of 14 eyes). Mean follow-up time was 61 days (range 32 to 104 days) and mean visual acuity improved from 20/214 at baseline to 20/86 (p=0.0328). No patients had postoperative hypotony, 4 patients required an intraoperative sutured sclerotomy, and intraoperative tears were noted and repaired in 2 patients.

Conclusions: : Twenty-three gauge vitrectomy is effective for the primary closure of macular holes. The efficacy and safety profile compare favorably with published rates for 20 and 25-gauge vitrectomy.

Keywords: vitreoretinal surgery • macular holes 
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