scholarly journals Changes in Day 1 Post-Operative Intraocular Pressure Following Sutureless 23-Gauge and Conventional 20-Gauge Pars Plana Vitrectomy

2013 ◽  
Vol 7 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Emily Gosse ◽  
Richard Newsom ◽  
Peter Hall ◽  
Jonathan Lochhead
Keyword(s):  
Intraocular Pressure ◽  
Gauge Group ◽  
Vitreoretinal Surgery ◽  
Retrospective Case ◽  
Gauge Groups ◽  
Sutureless Technique ◽  
Transconjunctival Sutureless Vitrectomy ◽  
23 Gauge ◽  
Sutureless Vitrectomy ◽  
Air Exchange

Background/Aims: The benefits associated with transconjunctival sutureless vitrectomy techniques are continuing to be defined. The purpose of this study was to compare the incidence of extreme changes in day 1 intraocular pressure (IOP) following 23-gauge sutureless vitrectomy compared with conventional 20-gauge vitrectomy. Methods: Fifty consecutive 23-gauge and 50 consecutive 20-gauge cases were included; eyes with a history of previous vitreoretinal surgery were excluded. 23-gauge surgery was completed with passive fluid air exchange where no long acting tamponade was indicated. The surgery remained sutureless unless a leak was visible at the end of the procedure. Data were collected by retrospective case note review. Statistical analysis was carried out using Fisher’s exact and chi-square tests. Results: Twenty-two percent (11/50) of 23-gauge vitrectomies required suturing of one or more ports. On the first post-operative day hypotony (IOP<5mmHg) occurred in 1/50 eyes in the 20- and 23-gauge groups. Raised pressure (IOP>21mmHg) occurred in 30% (15/50) of eyes in the 20-gauge group and 8% (4/50) of eyes in the 23-gauge group; IOP>30mmHg only occurred in the 20-gauge group (3/50). Conclusion: Fluid air exchange following 23-gauge vitrectomy is associated with very low risk of day 1 hypotony. This predominantly sutureless technique appears to reduce the incidence and magnitude of early post-operative IOP elevation compared with conventional 20-gauge vitrectomy.

scholarly journals Comparison of safety and effectiveness between 23-gauge and 25-gauge vitrectomy surgery in common vitreoretinal diseases

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248164
Author(s):  
Aleksandra Sedova ◽  
Irene Steiner ◽  
Rene Peter Matzenberger ◽  
Michael Georgopoulos ◽  
Christoph Scholda ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Gauge Group ◽  
Vitreoretinal Surgery ◽  
Vitreous Hemorrhage ◽  
Gauge Groups ◽  
Department Of Ophthalmology ◽  
Vitreoretinal Diseases ◽  
The Difference ◽  
23 Gauge ◽  
25 Gauge Vitrectomy

Purpose To assess and compare safety and effectiveness between 23-gauge and 25-gauge vitrectomy systems for the treatment of common vitreoretinal diseases in non-vitrectomized eyes. Methods Retrospective evaluation of patients who underwent pars plana vitrectomy from April 2018 to December 2019 at the Department of Ophthalmology and Optometry at the Medical University of Vienna (MUV) for the following indications: macular epiretinal membrane, macular hole, macular lamellar hole, vitreous hemorrhage, vitreous opacities, vitreomacular traction syndrome and macular edema. Results 201 eyes of 195 patients that underwent 23-gauge (n = 105 eyes) or 25-gauge (n = 96 eyes) vitrectomy were included in this study. The mean best-corrected visual acuity (BCVA) improved at 1–3 months postoperatively and beyond 3 months in both gauge groups. Risk of any complication within 1 month postoperatively was lower in the 25-gauge group, but the difference was statistically not significant (HR [95% CI]: 0.95 [0.53; 1.70], p = 0.85). Intraocular pressure less than 5 mmHg was observed in 2 eyes (2%) in the 23-gauge group at the first postoperative day. Intraocular pressure elevation over 25 mmHg occurred in 5 eyes (2 eyes, 2%, in 23-gauge and 3 eyes, 3%, in 25-gauge group) at postoperative day 1, between 7 and 28 days in 5 cases (2 eyes, 2%, in 23-gauge and 3 eyes, 3%, in 25-gauge group), and in 2 eyes (2%) of the 23-gauge group at postoperative day 145 and 61, respectively. Retinal detachment occurred in 1 eye (1%) in the 23-gauge and in 3 eyes (3%) in the 25-gauge group. We did not observe any cases of endophthalmitis. Conclusion Results in terms of safety, surgical success and visual outcomes for the treatment of common vitreoretinal surgery indications seem to be comparable between 23-gauge and 25-gauge vitrectomy systems, indicating that the two gauge systems can be used equally in the clinical routine.

scholarly journals Evaluation of leakage resistance improvement in transconjunctival sutureless vitrectomy sclerotomies closed with adhesives. an experimental study

Eye ◽  
2019 ◽  
Vol 34 (7) ◽  
pp. 1229-1234 ◽  
Author(s):  
Lorenzo López-Guajardo ◽  
Javier Benítez-Herreros ◽  
Juan Donate-López ◽  
Valeria Opazo-Toro
Keyword(s):  
Experimental Study ◽  
Intraocular Pressure ◽  
Fibrin Glue ◽  
Transconjunctival Sutureless Vitrectomy ◽  
Leakage Resistance ◽  
Biological Adhesive ◽  
23 Gauge ◽  
Sutureless Vitrectomy ◽  
Resistance Improvement

Abstract Background The purpose of this paper is to study the utility of adhesives (artificial-cyanoacrylate and biological-fibrin glue) for improving transconjunctival sutureless vitrectomy (TSV) sclerotomy closure competency. Methods Experimental and observer-masked study in which after performing TSV in cadaveric pig eyes, different adhesives were tested on sclerotomy entrances in order to determine if they improved closure competency in face of progressive intraocular pressure increase. In 76 eyes cyanoacrylate-treated sclerotomies were compared with sclerotomies in which no additional manoeuvre to aid closing was performed; in 76 eyes fibrin glue with no manoeuvre; and in the last 76 eyes, cyanoacrylate-treated sclerotomies were compared with fibrin glue-treated sclerotomies. Results A total of 228 eyes had a 23-gauge TSV performed. Both cyanoacrylate and fibrin glue treated sclerotomies achieved higher mean opening pressures when compared with nontreated sclerotomies in the same eye (p < 0.002). When cyanoacrylate was compared with biological adhesive in the same eye, no statistically significant differences were obtained (p = 0.216). Discussions This experimental study provides support for the possible role of adhesives in improving TSV sclerotomy closure competency in clinical practice.

23-gauge transconjunctival sutureless vitrectomy in treatment of post-operative endophthalmitis

2012 ◽  
Vol 250 (9) ◽  
pp. 1367-1371 ◽  
Author(s):  
Ahmed M. Almanjoumi ◽  
Aurélie Combey ◽  
Jean Paul Romanet ◽  
Christophe Chiquet
Keyword(s):  
Transconjunctival Sutureless Vitrectomy ◽  
23 Gauge ◽  
Sutureless Vitrectomy

Sutureless Vitrectomy for Repositioning of in-the-Bag Single Piece Acrylic Dislocated Intraocular Lens

2016 ◽  
Vol 50 (1) ◽  
pp. 28-29 ◽  
Author(s):  
Ramandeep Singh ◽  
Swapnil Madhukar Parchand ◽  
Rishiraj Singh ◽  
Neha Kumari
Keyword(s):  
Intraocular Lens ◽  
Successful Outcome ◽  
Transconjunctival Sutureless Vitrectomy ◽  
Single Piece ◽  
23 Gauge ◽  
Sutureless Vitrectomy

ABSTRACT We report a successful outcome in a case of dropped in-thebag single piece intraocular lens (IOL), which was retrieved and refixated to sclera using 23-gauge transconjunctival sutureless vitrectomy (TSV). This technique of scleral refixation of same IOL using sutureless vitrectomy shows the versatility of the 23-gauge TSV in managing the difficult and cumbersome situations like above. How to cite this article Singh R, Parchand SM, Singh R, Kumari N. Sutureless Vitrectomy for Repositioning of in-the-Bag Single Piece Acrylic Dislocated Intraocular Lens. J Postgrad Med Edu Res 2016;50(1):28-29.

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