Primary 23-gauge vitreoretinal surgery for rhegmatogenous retinal detachment
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Dosyalar
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ijo Press
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
AIM: To report the effectiveness and safety of primary 23-Gauge (G) vitreoretinal surgery for rhegmatogenous retinal detachment (RRD). METHODS: In this retrospective study, 49 eyes of 49 consecutive patients who underwent primary 23-G transconjunctival sutureless vitrectomy (TSV) for RRD between January 2007 and July 2009 at our institution were evaluated. RESULTS: Mean follow-up time was 8.9 +/- 7.7 months (1-28 months). Retinal reattachment was achieved with a single operation in 47 (95.9%) of 49 eyes. In two eyes (4.1%), retinal redetachment due to new breaks was successfully treated with reoperation using the 23-G TSV system. Mean logMAR visual acuity was 2.01 +/- 0.47 preoperatively and 1.3 +/- 0.5 postoperatively ( P <0.001, Paired t-test). Mean preoperative intraocular pressure (IOP) was 14.1 +/- 2.8mmHg. Mean postoperative IOP was 12.3 +/- 3.6mmHg at 1 day, 13.1 +/- 2.1mmHg at 1 week, 14.3 +/- 2.2mmHg at 1 month. Iatrogenic peripheral retinal break was observed in 1 eye (2.0%) intraoperatively. No sutures were required to close the scleral or conjunctival openings, and no eyes required convertion of surgery to 20-G vitrectomy. CONCLUSION: Primary 23-G TSV system was observed to be effective and safe in the treatment of RRD.
Açıklama
Anahtar Kelimeler
pars plana vitrectomy, retinal detachment, rhegmatogenous retinal detachment, transconjunctival sutureless vitrectomy, vitreoretinal surgery, 23-gauge vitrectomy, Pars-Plana Vitrectomy, Transconjunctival Sutureless Vitrectomy, Silicone Oil Tamponade, 20-Gauge Vitrectomy, Visual Outcomes, Postoperative Complications, Intraocular-Pressure, Pneumatic Retinopexy, Epiretinal Membrane, Initial-Experience
Kaynak
International Journal of Ophthalmology
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
5
Sayı
2