Purchase this article with an account.
A. Gupta, C.R. Gonzales, S.Y. Lee, J.Y. Freeman, M.F. Estafanous, A.E. Kreiger, S.D. Schwartz; Transient Post-Operative Hypotony Following Transconjunctival 25 Gauge Vitrectomy . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2026.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
Purpose: To evaluate the incidence of post-operative hypotony following transconjunctival 25 gauge pars plana vitrectomy (TSV25) in eyes with a variety of different pathology. Methods: Pars plana vitrectomy was performed on 100 consecutive eyes using the TSV25 system. Intraocular pressures (IOP) were measured 2-6 hours after vitrectomy (POD 0) and on post-operative day 1 (POD 1). Results: 14/100 eyes had an IOP below 5 mmHg requiring supplemental intraocular gas, air, or saline injection on POD 0. Only 1/100 eyes had an IOP below 5 on POD 1. Zero eyes were hypotonous by post-operative week 1. Conclusions: Transient hypotony requiring volume enhancement may occur in a small portion of patients undergoing vitrectomy with the TSV25 system. Hypotony resolves by POD 1 in the majority of patients.
This PDF is available to Subscribers Only