May 2007
Volume 48, Issue 13
ARVO Annual Meeting Abstract  |   May 2007
Outcomes of Transconjunctival Sutureless 23-Gauge Vitrectomy
Author Affiliations & Notes
  • L. T. Tran
    Ophthalmology, University of Texas at Houston, Houston, Texas
  • C. M. Jermak
    Ophthalmology, University of Texas at Houston, Houston, Texas
  • K. A. Bourgeois
    Ophthalmology, Downtown Eye Associates, Houston, Texas
  • Footnotes
    Commercial Relationships L.T. Tran, None; C.M. Jermak, None; K.A. Bourgeois, None.
  • Footnotes
    Support None.
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 2211. doi:
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      L. T. Tran, C. M. Jermak, K. A. Bourgeois; Outcomes of Transconjunctival Sutureless 23-Gauge Vitrectomy. Invest. Ophthalmol. Vis. Sci. 2007;48(13):2211.

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

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Purpose:: To report the incidence of postoperative hypotony, intraoperative complications, and other postoperative complications with a Dutch Ophthalmic Research Center (DORC) 23-gauge transconjunctival vitrectomy system for the management of various vitreoretinal diseases.

Methods:: This study is a retrospective review of 161 eyes of 151 consecutive patients who underwent 23-gauge transconjunctival sutureless vitrectomy by a single surgeon from April 2005 to August 2006. Indications for surgery included vitreous hemorrhage (n=65), epiretinal membrane (n=40), rhegmatogenous retinal detachment (n=16), idiopathic macular hole (n=13), retained lens fragment (n=12), endophthalmitis (n=5), uveitis (n=4), vitreous opacities (n=3), tractional retinal detachment associated with proliferative diabetic retinopathy (n =1 ), vitreous prolapse (n=1), and submacular hemorrhage (n=1). Main outcome measures included intraocular pressures, intraoperative complications, and postoperative complications.

Results:: The surgical goal of all cases was accomplished without intraoperative complications. Mean preoperative intraocular pressure was 16.9 mm Hg (range 4-59 mm Hg). On postoperative day 1, mean intraocular pressure was 15.9 mm Hg (range 4-48 mm Hg). There were 7 cases (4.35%) of hypotony (IOP < 6 mm Hg). Postoperative complications included 1 case of endophthalmitis (0.62%) and 1 case of retinal detachment (0.62%). There were no cases of choroidal detachment or suprachoroidal hemorrhage.

Conclusions:: The incidence of hypotony (4.35%), endophthalmitis (0.62%), and retinal detachment (0.62%) in this study was comparable to previously reported rates of complication in 25-gauge transconjunctival vitrectomy. Similar to 25-gauge vitrectomy surgery, 23-gauge vitrectomy requires no scleral sutures and causes minimal conjunctival trauma. However, 23-gauge vitrectomy has an added advantage of larger and sturdier instrumentation. This study showed that 23-gauge transconjunctival sutureless vitrectomy is a safe and effective system for the management of various vitreoretinal diseases.

Keywords: vitreoretinal surgery • retina • vitreous 

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