May 2003
Volume 44, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2003
Transient Post-Operative Hypotony Following Transconjunctival 25 Gauge Vitrectomy
Author Affiliations & Notes
  • A. Gupta
    Ophthalmology/Retina, Jules Stein Eye Inst/UCLA, Los Angeles, CA, United States
  • C.R. Gonzales
    Ophthalmology/Retina, Jules Stein Eye Inst/UCLA, Los Angeles, CA, United States
  • S.Y. Lee
    Ophthalmology/Retina, Jules Stein Eye Inst/UCLA, Los Angeles, CA, United States
  • J.Y. Freeman
    Ophthalmology/Retina, Jules Stein Eye Inst/UCLA, Los Angeles, CA, United States
  • M.F. Estafanous
    Ophthalmology/Retina, Jules Stein Eye Inst/UCLA, Los Angeles, CA, United States
  • A.E. Kreiger
    Ophthalmology/Retina, Jules Stein Eye Inst/UCLA, Los Angeles, CA, United States
  • S.D. Schwartz
    Ophthalmology/Retina, Jules Stein Eye Inst/UCLA, Los Angeles, CA, United States
Investigative Ophthalmology & Visual Science May 2003, Vol.44, 2026. doi:
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    • Get Citation

      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.

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

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Abstract

Abstract: : 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.

Keywords: vitreoretinal surgery 
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