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KMID : 0360220080490010065
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Journal of the Korean Ophthalmological Society
2008 Volume.49 No. 1 p.65 ~ p.70
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A Combination of 23-gauge and 20-gauge Transconjunctival Sutureless Vitrectomy
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Jin Sun-Young
Choi Moon Jeong
Kim Chul-Gu
Kim Jong-Woo
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Abstract
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Purpose : To describe the clinical experience and safety profile of a combination of 23-gauge and 20-gauge
transconjunctival sutureless vitrectomy (TSV)
Methods : Thirty-seven eyes of thirty-seven consecutive patients who underwent 23-gauge combined with
20-gauge transconjunctival vitrectomy surgery by a single surgeon from August 2006 through December 2006
were reviewed retrospectively for surgical indications, wound problems, and postoperative complications.
Results : Thirty-seven eyes, including eyes with proliferative diabetic retinopathy (n=24), macular hole (n=3),
epiretinal membrane (n=3), vitreous hemorrhage due to branch retinal vein occlusion and choroidal
neovascular membrane (n=3), vitreous opacity secondary to uveitis (n=1), rhegmatogenous retinal detachment
(n=1), and vitreoretinal traction syndrome (n=1), underwent operation. Seven eyes at 23-gauge sclerotomy
sites and 15 eyes at 20-gauge sclerotomy sites had subconjunctival hemorrhage. Three eyes required sutures
at 20-gauge sclerotomy sites intraoperatively due to wound leakage. One wound hemorrhage occurred at a
23-guage sclerotomy site. Vitreous hemorrhage (4 eyes), hyphema (2 eyes), and vitreous hemorrhage with
hyphema (1 eye) occurred postoperatively. Postoperative hypotony, retinal detachment, and other complications
did not occur.
Conclusion : A combination of 23-gauge and 20-gauge transconjunctival sutureless vitrectomy which was
created by modifying transconjunctival sutureless vitrectomy systems published previously guarded against
sclerotomy wounds and a variety of vitreoretinal surgical indications.
J Korean Ophthalmol Soc 49(1):65-70, 2008
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KEYWORD
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Self-sealing sclerotomy, Transconjunctival sutureless vitrectomy
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