May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
The Role of Sclerotomy Wound Vitreous Nettoyage in Preventing Ocular Hypotony After 25-Gauge Vitrectomy
Author Affiliations & Notes
  • F. M. Alfardan
    Ophthalmology, McGill University, Montreal, Quebec, Canada
  • J. Chen
    Ophthalmology, McGill University, Montreal, Quebec, Canada
  • J. Galic
    Ophthalmology, McGill University, Montreal, Quebec, Canada
  • Footnotes
    Commercial Relationships  F.M. Alfardan, None; J. Chen, None; J. Galic, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 5999. doi:https://doi.org/
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      F. M. Alfardan, J. Chen, J. Galic; The Role of Sclerotomy Wound Vitreous Nettoyage in Preventing Ocular Hypotony After 25-Gauge Vitrectomy. Invest. Ophthalmol. Vis. Sci. 2008;49(13):5999. doi: https://doi.org/.

      Download citation file:


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

      ×
  • Supplements
Abstract

Purpose: : to determine if there is any role for vitreous nettoyage (cleaning) at the end of the 25-gauge vitrectomy surgery in preventing post-operative ocular hypotony which is commonly encountered in the post operative course.

Methods: : a single-center, prospective interventional study. It involved 50 consecutive patients undergoing 25-gauge vitrectomy for variable indications; most commonly being macular holes, epimacular proliferation and diabetic vitreous haemorrhage. Vitreous nettoyage was done in the second group only (25 patients). It involved applying balanced infusion-suction forces intra-operatively toward the end of the surgery to ensure a self-sealing sclerotomy wound without a vitreous plug. The intra ocular pressure (IOP) was measured on the first day post operatively (using Goldman’s applanation) and hypotony was defined as IOP<10 mmHg.

Results: : the incidence of hypotony first day post-operatively in the first group was 53% compared to 16% in the vitreous nettoyage group. The mean IOP in the latter group was also higher (17 vs. 10 mmHg). That difference between the two groups in those primary outcomes was statistically significant.

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

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×