scholarly journals Comparison between 23-gauge versus 25-gauge Vitrectomy Outcomes for Dropped Lens Fragments in the Vitreous Cavity

2020 ◽  
Vol 61 (7) ◽  
pp. 778-783
Author(s):  
Suhwan Kim ◽  
Junwoo Chun ◽  
Seungwoo Lee
Keyword(s):  
Vitreous Cavity ◽  
23 Gauge ◽  
25 Gauge Vitrectomy

Surgical Retrieval of an Intraocular Needle Following Intravitreal Bevacizumab Injection

2019 ◽  
Vol 3 (4) ◽  
pp. 252-254
Author(s):  
Mariam Mathai ◽  
Joshua D. Levinson ◽  
Aziz A. Khanifar ◽  
Lindsay M. Smithen
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Intravitreal Injection ◽  
Intravitreal Bevacizumab ◽  
Vitreous Cavity ◽  
Surgical Removal ◽  
Intravitreal Bevacizumab Injection ◽  
Initial Injection ◽  
Pars Plana ◽  
23 Gauge

Purpose: The purpose of this case report is to describe a case of iatrogenic intraocular foreign body due to a fractured 30-gauge needle following intravitreal injection of bevacizumab. Methods: A case report is presented. Results: The patient presented with a 30-gauge needle in the vitreous cavity after receiving an intravitreal injection of bevacizumab for diabetic macular edema. Bilateral eye shields were placed to reduce movement of the foreign body and decrease the risk of injury to the lens or retina. The needle was successfully removed via a combination of 23-gauge pars plana vitrectomy and removal of the foreign body via a transscleral approach through the initial injection site. Visual acuity improved to 20/25 2 months after surgery. Conclusions: We present the successful preoperative management and surgical removal of a needle fragment from the vitreous cavity after the needle fractured during intravitreal injection.

Comparison of Visual and Anatomic Outcomes Following RRD Surgery Using 23-Gauge Versus 25-Gauge Vitrectomy: PRO Study Report No. 12

2021 ◽  
Vol 52 (2) ◽  
pp. 70-76
Author(s):  
Matthew R. Starr ◽  
Yoshihiro Yonekawa ◽  
Anthony Obeid ◽  
Edwin H. Ryan ◽  
Claire Ryan ◽  
...  
Keyword(s):  
Study Report ◽  
23 Gauge ◽  
25 Gauge Vitrectomy

scholarly journals 23-Gauge versus 25-Gauge Vitrectomy for Proliferative Diabetic Retinopathy: A Comparison of Surgical Outcomes

2014 ◽  
Vol 233 (2) ◽  
pp. 104-111 ◽  
Author(s):  
Grant Guthrie ◽  
Henry Magill ◽  
David H.W. Steel
Keyword(s):  
Diabetic Retinopathy ◽  
Proliferative Diabetic Retinopathy ◽  
Transconjunctival Sutureless Vitrectomy ◽  
Retinal Breaks ◽  
Significant Difference ◽  
23 Gauge ◽  
Using Data ◽  
Sutureless Vitrectomy ◽  
25 Gauge Vitrectomy ◽  
Vitrectomy System

Purpose: This study compared clinical outcomes and complications between 23-gauge (23g) and 25-gauge (25g) transconjunctival sutureless vitrectomy in patients with proliferative diabetic retinopathy. Study Design: It was a retrospective study using data prospectively defined and collected. 80 eyes underwent 23g transconjunctival sutureless vitrectomy, and 80 eyes underwent 25g surgery using the same vitrectomy system by one surgeon. Primary outcome measures were best-corrected visual acuity, intraocular pressure (IOP), and incidence of intraoperative and postoperative complications. Results: Vision was significantly improved after intervention in both groups (p ≥ 0.0001). There was no significant difference in visual outcomes between the groups (p = 0.43) or in the type and frequency of retinal breaks occurring during surgery (p = 0.63). The 23g group had significantly more patients with a day 1 IOP of <6 mm Hg (p = 0.034) and significantly more patients requiring a sclerostomy suture postoperatively (p = 0.014). Conclusion and Message: Both gauges are equally effective for the treatment of proliferative diabetic retinopathy.

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 Surgical outcomes of 23-gauge vitrectomy for the management of lens fragments dropped into the vitreous cavity during cataract surgery

2014 ◽  
Vol 28 (4) ◽  
pp. 253-256 ◽  
Author(s):  
Kyung Min Koh ◽  
Hyoung Seok Kim ◽  
Han Joo Cho ◽  
Young Ju Lew ◽  
Moon Jung Choi ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Surgical Outcomes ◽  
Vitreous Cavity ◽  
23 Gauge

Extrascleral Filling Using Endoillumination the First Experiencethe

2020 ◽  
pp. 43-49
Author(s):  
V.Y. Markevich ◽  
◽  
T.A. Imshenetskaya ◽  
O.A. Yarmak ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Silicone Oil ◽  
Subretinal Fluid ◽  
Crystalline Lens ◽  
Vitreous Cavity ◽  
Macular Area ◽  
General Group ◽  
Anatomical Outcome

Purpose. To study the effectiveness of extrascleral filling (ESF) using endoillumination in the surgical treatment of patients with primary rhegmatogenous retinal detachment (RRD). Material and methods. The material for the study was the data of a comprehensive clinical examination and surgical treatment by ESF method using endoillumination in 17 patients (17 eyes) with RRD. In 7 cases (41%), the macular area was involved in the detachment process. In 5 cases (29.4%), local scleral filling was performed. In the remaining 12 cases (70.6%), the local ESF was supplemented with a circling silicone element. Surgical intervention was supplemented by transscleral drainage of subretinal fluid (SRF) in 10 cases (59%) and pneumatic retinopexy with SF6 gas 50% in 8 cases (48%). Results. In the general group of patients, best corrected visual acuity (BCVA) increased from 0.35 to 0.46. In the subgroup of patients with a detached macular area, the positive dynamics is more pronounced, BCVA increased from 0.1 to 0.28. The progression of proliferative vitreoretinopathy caused the recurrence of retinal detachment in two patients (11.8%). Recurrences were diagnosed after 3 and 5 months, respectively. In both cases, a vitrectomy with tamponade of the vitreous cavity with silicone oil 5000 Cst was performed. The percentage of successful anatomical outcome after the first operation in our study was 82%. The percentage of successful achievement of the final anatomical result was 94%. In two cases, additional injection of SF6 gas into the vitreous cavity was required. Conclusion. This type of surgical treatment is an effective method of surgical treatment of patients with RRD. In our study, the successful anatomical outcome after the first operation was recorded in 82% of patients, which correlates with the data of the authors who also used this method (83–92%). Surgeons who performed surgical treatment using this technique in our study note improved workplace ergonomics when visualizing the fundus using an operating microscope and endoillumination compared with indirect ophthalmoscopy. Other teams of authors came to this conclusion as well. In our study, there were no complications associated with the introduction of a light pipe into the vitreous cavity (iatrogenic crystalline lens injury, endophthalmitis), which indicates the safety of this type of surgical treatment.

A clinical experience of post-traumatic endophthalmitis treatment with perfluororganic compound tamponade of the vitreous cavity

Reflection ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 49-51
Author(s):  
S.N. Subbotina ◽  
◽  
S.S. Shamkin ◽  
E.I. Kolesnikova ◽  
◽  
...  
Keyword(s):  
Clinical Experience ◽  
Vitreous Cavity ◽  
Post Traumatic
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