Application of 23-gauge Micro-invasive Vitrectomy for Vitreoretinopathy Disease

Abstract

Abstract:

Objective: To investigate the application of 23-gauge transconjunctival sutureless vitrectomy system（23-GTVS）in the
treatment of vitreoretinopathy disease and evaluate the efficacy,safety and complications. Methods: A 48 cases of 23-GTVS in our hospital from October 2011 to October 2013 was conducted retrospective analysis,including 8 eyes of idiopathic macular hole（16.7%）, 5 eyes of idiopathic macular epiretinal membrane（10.4%）,19 eyes of vitreous hemorrhage（29.5%）, 8 eyes of peripheral diabetic retinopathy（PDR stage V-VI）（16.7%）and8 eyes of rhegmatogenous retinal detachment（RRD）（16.7%）.Intraocular pressure preoperative as well as 1 day,7 days and 1 month postoperative, surgical effects, surgical time, best corrected visual acuity and complications were observed both in suture group and non-suture group. The follow-up time was from 1 month to 12 months. Results:
All cases were successfully completed operation and there were no statistical differences in intraocular pressure of different time points between two group（P>0.05）. Best corrected visual acuities postoperative both improved in two groups（P<0.01）. The mean surgery time was 70.12±7.86 min and there was few complication found. The intraoperative complications included 2 cases of slippage of intubation tube in,5 cases of slight hemorrhage under conjunctiva and 3 cases of bubble under conjunctiva.No serious postoperative complication was observed during the follow-up time in all cases. Conclusion: 23-GTVS, showing shorter operative-time,faster postoperative recovery,better curative effect and rare complications, was an effective and safe surgical technique in the management of vitreoretinopathy disease.

Key words: 23-gauge, micro-invasive, vitrectomy, vitreoretinopathy

CLC Number:

R774.1

DUAN Zhi-Guang, YU Li-Yun, CHEN Yin-Chao, JIA Yun-Qin, MO Ni. Application of 23-gauge Micro-invasive Vitrectomy for Vitreoretinopathy Disease[J]. J4, 2014, 13(2): 47-51.

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