Problems Associated with the 25-gauge Transconjunctival Sutureless Vitrectomy System During and After Surgery

Overview

Journal Ophthalmologica

Publisher Karger

Specialty Ophthalmology

Date 2006 Jun 21

PMID 16785758

Citations 22

Authors

Suk Ho Byeon

Young Kwang Chu

Sung Chul Lee

Hyoung Jun Koh

Sung Soo Kim

Oh Woong Kwon

Affiliations

Soon will be listed here.

Abstract

Objective: To report the initial experiences with the 25-gauge transconjunctival sutureless vitrectomy (TSV) system, including intraoperative and postoperative problems.

Methods: We retrospectively reviewed the medical records and surgical videotapes of 50 consecutive patients who underwent vitrectomy performed by one surgeon using the TSV system.

Results: Intraoperatively, we encountered such problems as difficulty in inserting the microcannula, which led to deformity, instability of the microcannula, self-disconnection of the infusion tip and resultant lens damage, and conversion to 20-gauge conventional vitrectomy. Postoperatively, there were 8 cases with hypotony (IOP < 6 mm Hg) on day 1, 6 cases with elevated IOP, and 3 cases with retinal detachment during follow-up.

Conclusion: Though certain problems exist during and after surgeries using TSV, this system is both convenient and safe for various vitreoretinal procedures.

Citing Articles

A Rare Complication Causing Another Rare Complication: Corneal Dellen with Infiltration Secondary to Subconjunctival Silicon Oil.

Mohan S, Nadri G, Mohan S Beyoglu Eye J. 2023; 8(3):233-236.

PMID: 37766771 PMC: 10521125. DOI: 10.14744/bej.2023.74508.

Intraocular pressure outcomes after 23-G vitreoretinal surgery with two different transconjunctival sutureless sclerotomy techniques: vertical versus tunnel entry.

Seyyar S, Saygili O, Tiskaoglu N Int Ophthalmol. 2022; 42(6):1763-1769.

PMID: 35079939 DOI: 10.1007/s10792-021-02172-7.

Comparison of safety and effectiveness between 23-gauge and 25-gauge vitrectomy surgery in common vitreoretinal diseases.

Sedova A, Steiner I, Matzenberger R, Georgopoulos M, Scholda C, Kriechbaum K PLoS One. 2021; 16(3):e0248164.

PMID: 33667273 PMC: 7935274. DOI: 10.1371/journal.pone.0248164.

Comparative study of straight vs angled incision in 27-gauge vitrectomy for epiretinal membrane.

Yomoda R, Sasaki H, Kogo J, Shiono A, Jujo T, Sekine R Clin Ophthalmol. 2018; 12:2409-2414.

PMID: 30538424 PMC: 6263245. DOI: 10.2147/OPTH.S183456.

Dellen formation as a complication of subconjunctival silicone oil following microincision vitrectomy.

Mahgoub M, Roshdy M, Wahba S Clin Ophthalmol. 2018; 11:2215-2219.

PMID: 29290680 PMC: 5736360. DOI: 10.2147/OPTH.S149531.