Yonsei Med J.  2004 Aug;45(4):615-620. 10.3349/ymj.2004.45.4.615.

Vitreoretinal Surgery Using Transconjunctival Sutureless Vitrectomy

• Cho YJ
• Lee JM
• Kim SS

• KMID: 721411
• DOI: http://doi.org/10.3349/ymj.2004.45.4.615

Abstract

This report presents the effectiveness of 25-gauge Transconjunctival Sutureless Vitrectomy (TSV) for various vitreoretinal disorders. We performed vitreoretinal surgery on 6 patients using 25-gauge TSV. Minimal or no leakage of intraocular fluid or gas was observed at the entry site. No case required a suture to close the conjunctival or scleral opening site, and no complications resulted from the opening site. Median preoperative visual acuity was 0.04 and median postoperative best corrected visual acuity (BCVA) with a mean follow-up of 12 weeks, was 0.45. Median preoperative intraocular pressure was 12.67mmHg, and median intraocular pressure on the first postoperative day was 15.67 mmHg. Because transconjunctival sutureless surgery is minimally invasive, it increases the efficiency of vitrectomy, hastens postoperative recovery, and improves outcomes due to the simplified surgical procedure. We feel that the adoption of the 25-gauge TSV would lead to improved patient comfort, care, and management.

Keyword

TSV (Transconjunctival Sutureless Vitrectomy) ; microcannula; insertion trocar; aspiration rate; infusion rate

MeSH Terms

Adult
Aged
Child, Preschool
Female
Follow-Up Studies
Humans
Male
Middle Aged
Retina/*surgery
Retinal Diseases/*surgery
Retrospective Studies
Visual Acuity
Vitrectomy/*instrumentation/*methods
Vitreous Body/*surgery