Outcome of 23-gauge system in transconjunctival vitreous surgery Kaori Kuboki 1 , Sotaro Ooto 1 , Masako Hattori 1 , Kyoko Itoi 1 , Akiyasu Kanamori 1 , Noriko Miyamoto 1 , Hitoshi Takagi 1 1Dept of Ophthalmol, Hyogo Pref Amagasaki Hosp pp.981-984
Published Date 2007/6/15
DOI https://doi.org/10.11477/mf.1410101793
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Abstract. Purpose:To report the outcome of 23-gauge system in vitreous surgery. Design:Single-center, single surgeon, retrospective, interventional case series. Participants:Consecutive series of 78 eyes of 74 patients who received 23-gauge transconjunctival vitreous surgery during a 6-month period. The series included epimacular membrane 18 eyes, branch retinal vein occlusion 15 eyes, diabetic retinopathy 12 eyes, retinal detachment 11 eyes, vitreous hemorrhage 11 eyes and others. Results:Membrane peeling was easier than with 25-gauge system. Peripheral vitrectomy or laser photocoagulation by indentation could be performed with the same ease as 20-guage system. Intraoperative complications included retinal detachment due to poor manipulation of troca in 1 eye, and inflow of influsion fluid into the subchoroidal space in 2 eyes. Transient postoperative hypotony developed in 1 eye. Conclusion:Use of 23-guage allows low-invasive sutureless vitreous surgery for vitreoretinal diseases.

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