Vitrectomy using a 25-gauge system performed as day surgery Zeon Lee 1,2 , Hiroyuki Shimada 2 1Miyahara Eye Clin 2Dept of Ophthalmol,Nihon Univ Sch of Med pp.1125-1129
Published Date 2009/7/15
DOI https://doi.org/10.11477/mf.1410102793
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Abstract. Purpose:To report and discuss vitrectomy using a 25-gauge system performed as day surgery. Cases and Method:This retrospective study was made on consecutive series of 143 eyes of 127 patients. The age ranged from 31 to 85 years,average 67 years. Sutureless vitrectomy was performed for complications of diabetic retinopathy 59 eyes,epimacular membrane 43 eyes,branch retinal vein occlusion 16 eyes,and macular hole 12 eyes among others. Simultaneous cataract surgery was performed on 106 eyes. Results:There was no postoperative endophthalmitis throughout. Macular hole failed to close in 2 eyes. Eventual closure was obtained by another surgery with strict face-down position. There were no serious complications. Conclusion:Prevention of endophthalmitis is most important when vitrectomy is performed as day surgery. Patients have to remain in face-down position at home. Early rehabilitation is a major benefit of this therapeutic modality.

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