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      Topical anesthesia in transconjunctival sutureless 25-gauge vitrectomy for macular-based disorders.

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          Abstract

          To evaluate the safety and feasibility of topical anesthesia in vitrectomy using the transconjunctival sutureless 25-gauge system (TSV 25G).

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          Longer-term outcomes of transconjunctival sutureless 25-gauge vitrectomy.

          Ana M. Ibarra, Elmar J. Prenner, Martin Hermel … (2005)
          To report longer-term outcomes in eyes undergoing 25-gauge transconjunctival sutureless vitrectomy. Retrospective, noncomparative, case series. Chart review of the initial 45 consecutive patients (45 eyes) that underwent TSV by one surgeon (T.S.H.) for idiopathic epiretinal membrane (n = 15), refractory diabetic macular edema (n = 11), idiopathic macular hole (n = 10), and nonclearing vitreous hemorrhage (n = 9). All patients had at least 6-month follow-up. Main outcome measures included visual acuity (VA), intraocular pressure, intraoperative complications, and postoperative complications. Mean follow-up was 13 months (range 6 to 25 months). Mean overall preoperative VA vs last postoperative VA was 20/229 and 20/65, respectively (P < .0001). Statistically significant VA improvement was seen for each patient subgroup. Mean preoperative intraocular pressure was 16.9 mm Hg (range 10-26 mm Hg). On postoperative day 1, week 1, and week 4, median intraocular pressure was 14.6 mm Hg (range 8-17 mm Hg), 17.6 mm Hg (range 8-38 mm Hg), and 17.7 mm Hg (range 9-33 mm Hg), respectively. No intraoperative complications occurred. Postoperative complications were 1 inferior retinal detachment (2.2%) 4 weeks after macular hole repair, 1 macular hole (2.2%) 6 months after epiretinal membrane peel, and 23 worsening cataracts in 29 phakic eyes (79.3%). Less surgically complex vitreoretinal pathology may be successfully repaired with TSV. After a mean follow-up of more than 1 year, minimal complications were seen, and none was specifically related to the sutureless nature of the procedure.
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            A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery1 1The new Transconjunctival Sutureless Vitrectomy System is disclosed to Bausch and Lomb Surgical, St. Louis, MO. The Microsurgery Advanced Design Laboratory (MADLAB) may receive royalties related to the sale of this and other instruments mentioned in the article.

            Dante J Pieramici, Tom S Chang, Eugene Ng … (2002)
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              Initial experience using the transconjunctival sutureless vitrectomy system for vitreoretinal surgery1 1The new Transconjunctival Sutureless Vitrectomy System is disclosed to Bausch & Lomb Surgical, St. Louis, MO. The Microsurgery Advanced Design Laboratory (MADLAB) may receive royalties related to the sale of this and other instruments mentioned in the article.

              Tom S Chang, Dante J Pieramici, Aaron C Barnes … (2002)
              Article 0 comments Cited 32 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (iso-abbrev): Ophthalmologica
                Title: Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde
                Publisher: S. Karger AG
                ISSN: 0030-3755
                ISSN (Print): 0030-3755
                Publication date (Electronic): 2007
                Volume: 221
                Issue: 1
                Affiliations
                [1 ] State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. tangs6@mail.sysu.edu.cn
                Article
                Publisher Item ID: 000096526
                DOI: 10.1159/000096526
                PubMed ID: 17183205
                SO-VID: 2bdd49a2-f92c-4b57-8c0d-cfe53c2c2684
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