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Article: Primary 23-gauge sutureless vitrectomy for rhegmatogenous retinal detachment

TitlePrimary 23-gauge sutureless vitrectomy for rhegmatogenous retinal detachment
Authors
Keywords23-Gauge vitrectomy
rhegmatogenous retinal detachment
sutureless vitrectomy
Issue Date2012
PublisherMedknow Publications Pvt Ltd. The Journal's web site is located at http://www.ijo.in
Citation
Indian Journal Of Ophthalmology, 2012, v. 60 n. 1, p. 29-33 How to Cite?
AbstractAims : To report a prospective non-comparative consecutive interventional study on the safety and efficacy of 23-Gauge transconjunctival sutureless pars plana vitrectomy for primary rhegmatogenous retinal detachment (RRD). Materials and Methods: Fifty eyes of 50 consecutive patients were recruited between June 2007 and January 2008. All surgeries were performed using the one-step 23-Gauge system with angled incisions. The surgical protocol consisted of a minimum of eight clinical visits: baseline, 1 day, 1 week, 1-, 3- and 6- months after the initial surgery. The endpoints were anatomical, functional results and complications arising from the surgery. Results : Anatomical success was achieved in 82% of cases (41 out of 50) with single surgery and rose to 98% (49 out of 50) with additional surgery. Mean visual acuity improved from logMAR 0.48(SD 0.36) to 0.26(SD 0.31), P < 0.001. Two cases with ocular hypotony, defined as an intraocular pressure 6mmHg, that were associated with a choroidal detachment were seen. Conclusions : Acceptable anatomical and functional success rates can be achieved with primary 23-Gauge transconjunctival sutureless vitrectomy for RRD. We found that the approach technique is different from conventional vitrectomy and the complications arising from post surgical hypotony and leakage from sclerotomies are potentially higher compared to 20-Gauge vitrectomy.
Persistent Identifierhttp://hdl.handle.net/10722/146320
ISSN
2015 Impact Factor: 0.825
2015 SCImago Journal Rankings: 0.536
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorRomano, MRen_HK
dc.contributor.authorDas, Ren_HK
dc.contributor.authorGroenwald, Cen_HK
dc.contributor.authorStappler, Ten_HK
dc.contributor.authorMarticorena, Jen_HK
dc.contributor.authorValldeperas, Xen_HK
dc.contributor.authorWong, Den_HK
dc.contributor.authorHeimann, Hen_HK
dc.date.accessioned2012-04-10T01:50:12Z-
dc.date.available2012-04-10T01:50:12Z-
dc.date.issued2012en_HK
dc.identifier.citationIndian Journal Of Ophthalmology, 2012, v. 60 n. 1, p. 29-33en_HK
dc.identifier.issn0301-4738en_HK
dc.identifier.urihttp://hdl.handle.net/10722/146320-
dc.description.abstractAims : To report a prospective non-comparative consecutive interventional study on the safety and efficacy of 23-Gauge transconjunctival sutureless pars plana vitrectomy for primary rhegmatogenous retinal detachment (RRD). Materials and Methods: Fifty eyes of 50 consecutive patients were recruited between June 2007 and January 2008. All surgeries were performed using the one-step 23-Gauge system with angled incisions. The surgical protocol consisted of a minimum of eight clinical visits: baseline, 1 day, 1 week, 1-, 3- and 6- months after the initial surgery. The endpoints were anatomical, functional results and complications arising from the surgery. Results : Anatomical success was achieved in 82% of cases (41 out of 50) with single surgery and rose to 98% (49 out of 50) with additional surgery. Mean visual acuity improved from logMAR 0.48(SD 0.36) to 0.26(SD 0.31), P < 0.001. Two cases with ocular hypotony, defined as an intraocular pressure 6mmHg, that were associated with a choroidal detachment were seen. Conclusions : Acceptable anatomical and functional success rates can be achieved with primary 23-Gauge transconjunctival sutureless vitrectomy for RRD. We found that the approach technique is different from conventional vitrectomy and the complications arising from post surgical hypotony and leakage from sclerotomies are potentially higher compared to 20-Gauge vitrectomy.en_HK
dc.languageengen_US
dc.publisherMedknow Publications Pvt Ltd. The Journal's web site is located at http://www.ijo.inen_HK
dc.relation.ispartofIndian Journal of Ophthalmologyen_HK
dc.subject23-Gauge vitrectomyen_HK
dc.subjectrhegmatogenous retinal detachmenten_HK
dc.subjectsutureless vitrectomyen_HK
dc.titlePrimary 23-gauge sutureless vitrectomy for rhegmatogenous retinal detachmenten_HK
dc.typeArticleen_HK
dc.identifier.emailWong, D: shdwong@hku.hken_HK
dc.identifier.authorityWong, D=rp00516en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.4103/0301-4738.90487en_HK
dc.identifier.pmid22218242en_HK
dc.identifier.pmcidPMC3263240-
dc.identifier.scopuseid_2-s2.0-84856002059en_HK
dc.identifier.hkuros212094-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84856002059&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume60en_HK
dc.identifier.issue1en_HK
dc.identifier.spage29en_HK
dc.identifier.epage33en_HK
dc.identifier.isiWOS:000315668300006-
dc.publisher.placeIndiaen_HK
dc.identifier.scopusauthoridRomano, MR=35249070500en_HK
dc.identifier.scopusauthoridDas, R=35344480900en_HK
dc.identifier.scopusauthoridGroenwald, C=6504232472en_HK
dc.identifier.scopusauthoridStappler, T=8563727800en_HK
dc.identifier.scopusauthoridMarticorena, J=14043688500en_HK
dc.identifier.scopusauthoridValldeperas, X=14018791900en_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK
dc.identifier.scopusauthoridHeimann, H=7006780277en_HK

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