Professional paper
Our Experience with 25 Gauge Transconjunctival Sutureless Vitreoretinal Surgery
Damir Kovačević
Aldo Valković
Abstract
The discovery of the 25 gauge minimally invasive vitreoretinal surgery (Fujii et al.) has made possible to perform surgical procedures through small openings in conjunctiva and sclera of no more than 0.55 mm. Today, the procedure becomes ever more popular due to a reduced surgical trauma and faster postoperative recovery. The purpose of this report is to present first cases of minimally invasive transconjunctival sutureless 25 gauge vitreoretinal surgery (25 G TSV) in Croatia and to evaluate advantages of this new procedure. A case series of four patients (eyes) with posterior segment disease are presented. The new technique consisted of transconjunctival insertion of a small diameter cannula (0.5 mm) through sclera after conjunctival displacement. An Accurus 800 basic vitrectomy unit with 25 gauge Alcon system was used. Median postoperative Snellen visual acuity was 0.6 and mean postoperative intraocular pressure 14 mm Hg. Mean total vitrectomy time was 15 minutes. The mean postoperative follow up was 3 months. Intraoperatively, two conjunctival hemorrhages were noted at entry sites. Postoperative complications included retinal rupture without detachment in one eye. According to our initial experience, 25 gauge sutureless vitrectomy is a good choice for selected patients. Postoperative time is reduced and surgical trauma minimal with no signs of inflammation after two weeks.
Keywords
Vitrectomy; Transconjunctival; Pars Plana
Hrčak ID:
14378
URI
Publication date:
2.4.2007.
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