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  • 标题:Initial Experience With 20-Gauge Transconjunctival Sutureless Vitrectomy Using Conventional Instruments
  • 本地全文:下载
  • 作者:Kim, Kyeong Hwan ; Lee, Joo Eun
  • 期刊名称:Journal of the Korean Ophthalmological Society
  • 印刷版ISSN:0378-6471
  • 出版年度:2010
  • 卷号:51
  • 期号:1
  • 页码:22-28
  • DOI:10.3341/jkos.2010.51.1.22
  • 语种:Korean
  • 出版社:The Korean Ophthalmological Society
  • 摘要:Purpose

    To describe a transconjunctival sutureless technique for pars plana vitrectomy using conventional 20-gauge instruments.

    Methods

    We performed transconjunctival sutureless pars plana vitrectomy (TSV) using conventional 20-gauge instruments in 36 eyes of 35 patients. We made 20-gauge transconjunctival beveled sclerotomies using microvitreoretinal (MVR) blades and used traditional 20-gauge instruments for the operations.

    Results

    Eighty-three (81.4%) of 102 sclerotomies self-sealed without the need for sutures. The sutureless rate was even higher in the last one-third of the patients: 32 (94.1%) of 34 sclerotomy sites were sutureless. No serious complications were observed in our series, including postoperative hypotony, wound leakage, or endophthalmitis.

    Conclusions

    The 20-gauge TSV technique is safe and can be utilized for almost all vitreoretinal diseases, without incurring additional cost for new instruments.

  • 关键词:Self-sealing sclerotomies; Sutureless vitrectomy; Transconjunctival; TSV; 20-gauge pars plana vitrectomy
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