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Surgical outcomes of transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection

AIMS: To evaluate the outcomes and complications of 23-gauge transconjunctival sutureless vitrectomy (TSV) with Silicone oil (SO) tamponade in complex vitreoretinal diseases. SETTINGS AND DESIGN: Ege university hospital ophthalmology department. Retrospective case series. MATERIALS AND METHODS: Fort...

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Autores principales: Erakgun, Tansu, Egrilmez, Sait
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684440/
https://www.ncbi.nlm.nih.gov/pubmed/19237782
http://dx.doi.org/10.4103/0301-4738.44514
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author Erakgun, Tansu
Egrilmez, Sait
author_facet Erakgun, Tansu
Egrilmez, Sait
author_sort Erakgun, Tansu
collection PubMed
description AIMS: To evaluate the outcomes and complications of 23-gauge transconjunctival sutureless vitrectomy (TSV) with Silicone oil (SO) tamponade in complex vitreoretinal diseases. SETTINGS AND DESIGN: Ege university hospital ophthalmology department. Retrospective case series. MATERIALS AND METHODS: Forty eyes of 40 patients with diabetic tractional retinal detachment (DTRD) and proliferative vitreoretinopathy (PVR) were included in the study. Vitrectomy using 23-gauge system with SO endotamponade was performed. Peroperative and postoperative complications, anatomical and visual results were evaluated. STATISTICAL ANALYSIS USED: Paired Student's t-test. RESULTS: Simultaneous cataract surgery was performed in 17 eyes. Peroperative complications were posterior capsule rupture during phacoemulsification in one patient, vitreous and retinal incarceration in one patient. One eye required suture placement at the end of surgery due to SO leakage. Postoperatively, a small subconjunctival SO bubble in three patients, and hypotony in one patient (6 mmHg) were observed. Recurrent retinal detachment under SO occurred in one patient. Mean follow-up was 6.5 months (±2.7). Pre- and postoperative mean visual acuity was 2.22±0.91 logMAR and 1.11±0.8 logMAR, respectively (P<0.001). Mean intraocular pressure (IOP) on the first postoperative day was lower than preoperative IOP (11.3 ±3.2 versus 14.0 ±2.4 mmHg) (P<0.001). CONCLUSIONS: Twenty-three gauge instrumentation seems to be feasible, effective and safe for vitrectomy with SO injection in DTRD and PVR, and can be considered in the surgical management of these complex vitreoretinal diseases.
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spelling pubmed-26844402009-05-27 Surgical outcomes of transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection Erakgun, Tansu Egrilmez, Sait Indian J Ophthalmol Original Article AIMS: To evaluate the outcomes and complications of 23-gauge transconjunctival sutureless vitrectomy (TSV) with Silicone oil (SO) tamponade in complex vitreoretinal diseases. SETTINGS AND DESIGN: Ege university hospital ophthalmology department. Retrospective case series. MATERIALS AND METHODS: Forty eyes of 40 patients with diabetic tractional retinal detachment (DTRD) and proliferative vitreoretinopathy (PVR) were included in the study. Vitrectomy using 23-gauge system with SO endotamponade was performed. Peroperative and postoperative complications, anatomical and visual results were evaluated. STATISTICAL ANALYSIS USED: Paired Student's t-test. RESULTS: Simultaneous cataract surgery was performed in 17 eyes. Peroperative complications were posterior capsule rupture during phacoemulsification in one patient, vitreous and retinal incarceration in one patient. One eye required suture placement at the end of surgery due to SO leakage. Postoperatively, a small subconjunctival SO bubble in three patients, and hypotony in one patient (6 mmHg) were observed. Recurrent retinal detachment under SO occurred in one patient. Mean follow-up was 6.5 months (±2.7). Pre- and postoperative mean visual acuity was 2.22±0.91 logMAR and 1.11±0.8 logMAR, respectively (P<0.001). Mean intraocular pressure (IOP) on the first postoperative day was lower than preoperative IOP (11.3 ±3.2 versus 14.0 ±2.4 mmHg) (P<0.001). CONCLUSIONS: Twenty-three gauge instrumentation seems to be feasible, effective and safe for vitrectomy with SO injection in DTRD and PVR, and can be considered in the surgical management of these complex vitreoretinal diseases. Medknow Publications 2009 /pmc/articles/PMC2684440/ /pubmed/19237782 http://dx.doi.org/10.4103/0301-4738.44514 Text en © Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Erakgun, Tansu
Egrilmez, Sait
Surgical outcomes of transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection
title Surgical outcomes of transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection
title_full Surgical outcomes of transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection
title_fullStr Surgical outcomes of transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection
title_full_unstemmed Surgical outcomes of transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection
title_short Surgical outcomes of transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection
title_sort surgical outcomes of transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684440/
https://www.ncbi.nlm.nih.gov/pubmed/19237782
http://dx.doi.org/10.4103/0301-4738.44514
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