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Problems Associated with the 25-Gauge Transconjunctival Sutureless Vitrectomy System during and after Surgery

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Title: Problems Associated with the 25-Gauge Transconjunctival Sutureless Vitrectomy System during and after Surgery
Authors: Young Kwang Chu, Hyoung Jun Koh, Sung Chul Lee, Sung Soo Kim, Oh Woong Kwon, Suk Ho Byeon
Contributors: Byeon S.H., Chu Y.K., Lee S.C., Koh H.J., Kim S.S., Kwon O.W., Koh, Hyoung Jun, Kwon, Oh Woong, Kim, Sung Soo, Byeon, Suk Ho, Lee, Sung Chul
Source: Ophthalmologica. 220:259-265
Publisher Information: S. Karger AG, 2006.
Publication Year: 2006
Subject Terms: Adult, Male, Video Recording, Ocular Hypotension, Lens, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Suture Techniques/instrumentation, Vitrectomy, Lens, Crystalline, Humans, Intraoperative Complications, Aged, Retrospective Studies, Retinal Detachment/surgery, Suture Techniques, Retinal Detachment, Crystalline/injuries, Middle Aged, Prognosis, Vitrectomy/adverse effects, 3. Good health, Ocular Hypotension/etiology, Equipment Failure, Female, Follow-Up Studies
Description: Objective: To report the initial experiences with the 25-gauge transconjunctival sutureless vitrectomy (TSV) system, including intraoperative and postoperative problems. Methods: We retrospectively reviewed the medical records and surgical videotapes of 50 consecutive patients who underwent vitrectomy performed by one surgeon using the TSV system. Results: Intraoperatively, we encountered such problems as difficulty in inserting the microcannula, which led to deformity, instability of the microcannula, self-disconnection of the infusion tip and resultant lens damage, and conversion to 20-gauge conventional vitrectomy. Postoperatively, there were 8 cases with hypotony (IOP < 6 mm Hg) on day 1, 6 cases with elevated IOP, and 3 cases with retinal detachment during follow-up. Conclusion: Though certain problems exist during and after surgeries using TSV, this system is both convenient and safe for various vitreoretinal procedures.
Document Type: Article
File Description: 259~265
Language: English
ISSN: 1423-0267
0030-3755
DOI: 10.1159/000093081
Access URL: https://pubmed.ncbi.nlm.nih.gov/16785758
https://europepmc.org/abstract/MED/16785758
https://yonsei.pure.elsevier.com/en/publications/problems-associated-with-the-25-gauge-transconjunctival-sutureles
https://pubmed.ncbi.nlm.nih.gov/16785758/
Rights: CC BY NC ND
URL: https://www.karger.com/Services/SiteLicenses
Accession Number: edsair.doi.dedup.....f57ef02cc1124852c1f2cc868a8eb468
Database: OpenAIRE
Description
Abstract:Objective: To report the initial experiences with the 25-gauge transconjunctival sutureless vitrectomy (TSV) system, including intraoperative and postoperative problems. Methods: We retrospectively reviewed the medical records and surgical videotapes of 50 consecutive patients who underwent vitrectomy performed by one surgeon using the TSV system. Results: Intraoperatively, we encountered such problems as difficulty in inserting the microcannula, which led to deformity, instability of the microcannula, self-disconnection of the infusion tip and resultant lens damage, and conversion to 20-gauge conventional vitrectomy. Postoperatively, there were 8 cases with hypotony (IOP < 6 mm Hg) on day 1, 6 cases with elevated IOP, and 3 cases with retinal detachment during follow-up. Conclusion: Though certain problems exist during and after surgeries using TSV, this system is both convenient and safe for various vitreoretinal procedures.
ISSN:14230267
00303755
DOI:10.1159/000093081