J Korean Ophthalmol Soc.  2011 Feb;52(2):190-196.

Primary 23 Gauge Transconjunctival Sutureless Vitrectomy With Air Tamponade for Simple Rhegmatogenous Retinal Detachment

• Kim OJ
• Lee TG
• Na SJ

Abstract

PURPOSE
To evaluate the surgical outcomes of primary 23-gauge (23G) transconjunctival sutureless vitrectomy (TSV) with air tamponade in patients with idiopathic simple rhegmatogenous retinal detachment (RRD).
METHODS
A chart review of 38 eyes with idiopathic simple RRD which underwent primary 23G TSV with air tamponade and without prone positioning by a single vitreoretinal surgeon was retrospectively performed. All cases were followed up for a minimum of 3 months after the operation.
RESULTS
The primary anatomical success rate was 94.7% (36/38 eyes). Preoperative mean logMAR (Snellen) best corrected visual acuity (BCVA) was 0.81 +/- 0.13 and improved to 0.63 +/- 0.37 and 0.48 +/- 0.37 at postoperative 1 week and 3 months (p < 0.05), respectively. The mean 21.35% amount of air bubble remained in the vitreous cavity at postoperative 1 week and the residual air bubble was completely absorbed at postoperative 2 weeks. Complications were sclerotomy site leakage (1 eye), cataract (3 eyes), vitreous hemorrhage (1 eye), epiretinal membrane (2 eyes) and increased intraocular pressure (3 eyes).
CONCLUSIONS
The use of 23G TSV with air tamponade in cases with idiopathic simple RRD may be an effective and safe surgical technique.

Keyword

Air tamponade; Primary vitrectomy; Retinal detachment; 23-Gauge transconjunctival sutureless vitrectomy

MeSH Terms

Cataract
Epiretinal Membrane
Eye
Humans
Intraocular Pressure
Retinal Detachment
Retinaldehyde
Retrospective Studies
Visual Acuity
Vitrectomy
Vitreous Hemorrhage
Retinaldehyde

Figure

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  Figure 1. Postoperative residual amount of air bubble.

Reference

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