Primary 23-gauge sutureless vitrectomy for rhegmatogenous retinal detachment.

Détails

ID Serval
serval:BIB_DFEC1571E2CB
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Primary 23-gauge sutureless vitrectomy for rhegmatogenous retinal detachment.
Périodique
Indian journal of ophthalmology
Auteur⸱e⸱s
Romano M.R., Das R., Groenwald C., Stappler T., Marticorena J., Valldeperas X., Wong D., Heimann H.
ISSN
1998-3689 (Electronic)
ISSN-L
0301-4738
Statut éditorial
Publié
Date de publication
2012
Peer-reviewed
Oui
Volume
60
Numéro
1
Pages
29-33
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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).
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.
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.
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.
Mots-clé
Adult, Aged, Aged, 80 and over, Equipment Design, Female, Follow-Up Studies, Humans, Male, Microscopy, Acoustic, Middle Aged, Prospective Studies, Retinal Detachment/diagnosis, Retinal Detachment/surgery, Suture Techniques/instrumentation, Sutures, Treatment Outcome, Visual Acuity, Vitrectomy/methods, Young Adult
Pubmed
Web of science
Open Access
Oui
Création de la notice
30/08/2018 14:37
Dernière modification de la notice
20/08/2019 16:04
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