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      27-Gauge Vitrectomy for Symptomatic Vitreous Floaters with Topical Anesthesia

      case-report

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          Abstract

          Purpose

          Traditionally acceptable methods of anesthesia for vitrectomy surgery are quite varied. However, each of these methods has its own potential for complications that can range from minor to severe. The surgery procedure of vitrectomy for symptomatic vitreous floaters is much simpler, mainly reflecting in the nonuse of sclera indentation, photocoagulation, and the apparently short surgery duration. The use of 27-gauge cannulae makes the puncture of the sclera minimally invasive. Hence, retrobulbar anesthesia, due to its rare but severe complications, seemed excessive for this kind of surgery.

          Method

          Three cases of 27-gauge, sutureless pars plana vitrectomy for symptomatic vitreous floaters with topical anesthesia are reported.

          Results

          The vitrectomy surgeries were successfully performed with topical anesthesia (proparacaine, 0.5%) without operative or postoperative complications. Furthermore, none of the patients experienced apparent pain during or after the surgery.

          Conclusion

          Topical anesthesia can be considered for 27-guage vitrectomy in patients with symptomatic vitreous floaters.

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          Most cited references14

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          • Article: not found

          A 27-gauge instrument system for transconjunctival sutureless microincision vitrectomy surgery.

          To evaluate the efficiency, preliminary safety, and feasibility of a 27-gauge instrument system for transconjunctival microincision vitrectomy surgery (MIVS) in a variety of vitreoretinal diseases.
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            • Record: found
            • Abstract: found
            • Article: not found

            Outcomes of 27 Gauge Microincision Vitrectomy Surgery for Posterior Segment Disease.

            To report the initial experience, clinical outcomes, and safety profile of 27 gauge pars plana vitrectomy (PPV) in eyes with posterior segment disease.
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              • Record: found
              • Abstract: found
              • Article: not found

              Vitrectomy for floaters: prospective efficacy analyses and retrospective safety profile.

              Floaters impact vision but the mechanism is unknown. We hypothesize that floaters reduce contrast sensitivity function, which can be normalized by vitrectomy, and that minimally invasive vitrectomy will have lower incidences of retinal tears (reported at 30%) and cataracts (50-76%).
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                Author and article information

                Journal
                Case Rep Ophthalmol
                Case Rep Ophthalmol
                COP
                Case Reports in Ophthalmology
                S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.ch )
                1663-2699
                Jan-Apr 2017
                20 January 2017
                20 January 2017
                : 8
                : 1
                : 35-39
                Affiliations
                [1] aThe Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China
                [2] bOphthalmology Department, University of the West Indies, St. Augustine, Trinidad and Tobago
                Author notes
                *Rong Han Wu MD, PhD, The Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical, University, No. 270 West College Road, Wenzhou, Zhejiang 325027 (China), E-Mail wuronghan@ 123456126.com
                Article
                cop-0008-0035
                10.1159/000453332
                5301096
                c5ed59da-2ee0-4e5a-b980-0c0645464ed3
                Copyright © 2017 by S. Karger AG, Basel

                This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.

                History
                : 2 September 2016
                : 9 November 2016
                Page count
                Tables: 1, References: 15, Pages: 5
                Categories
                Case Report

                27-gauge cannula,pars plana vitrectomy,symptomatic vitreous floaters,topical anesthesia

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