Back to Search
Start Over
Primary 23-gauge sutureless vitrectomy for rhegmatogenous retinal detachment
- Source :
- Indian Journal of Ophthalmology, Vol 60, Iss 1, Pp 29-33 (2012)
- Publication Year :
- 2012
- Publisher :
- Wolters Kluwer Medknow Publications, 2012.
-
Abstract
- Aims : To report a prospective non-comparative consecutive interventional study on the safety and efficacy of 23-Gauge transconjunctival sutureless pars plana vitrectomy for primary rhegmatogenous retinal detachment (RRD). Materials and Methods: Fifty eyes of 50 consecutive patients were recruited between June 2007 and January 2008. All surgeries were performed using the one-step 23-Gauge system with angled incisions. The surgical protocol consisted of a minimum of eight clinical visits: baseline, 1 day, 1 week, 1-, 3- and 6- months after the initial surgery. The endpoints were anatomical, functional results and complications arising from the surgery. Results : Anatomical success was achieved in 82% of cases (41 out of 50) with single surgery and rose to 98% (49 out of 50) with additional surgery. Mean visual acuity improved from logMAR 0.48(SD 0.36) to 0.26(SD 0.31), P < 0.001. Two cases with ocular hypotony, defined as an intraocular pressure ≤ 6mmHg, that were associated with a choroidal detachment were seen. Conclusions : Acceptable anatomical and functional success rates can be achieved with primary 23-Gauge transconjunctival sutureless vitrectomy for RRD. We found that the approach technique is different from conventional vitrectomy and the complications arising from post surgical hypotony and leakage from sclerotomies are potentially higher compared to 20-Gauge vitrectomy.
- Subjects :
- Band-shaped keratopathy
corneal dystrophy
phototherapeutic keratectomy
phototherapeutic keratectomy with amniotic membrane grafts
scar
and Salzmann nodular degeneration
Kaplan Meier survival analysis
multivariate Cox Proportional Hazard Regression analysis
optical penetrating keratoplasties
Myopia
phakic refractive intraocular lens
refractive surgery
23-Gauge vitrectomy
rhegmatogenous retinal detachment
sutureless vitrectomy
Ophthalmology
RE1-994
Subjects
Details
- Language :
- English
- ISSN :
- 03014738 and 19983689
- Volume :
- 60
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Indian Journal of Ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.05421df27442ed920b51bebe89c1b9
- Document Type :
- article
- Full Text :
- https://doi.org/10.4103/0301-4738.90487