Authors : Zhao Xiaohui, Xing Yiqiao, Li Zhi and He Tao
Abstract: The purpose of this study is to evaluate the anatomic and functional outcomes of 23-gauge Transconjunctival Sutureless Vitrectomy (TSV) in primary reatment of uncomplicated pseudophakic Retinal Detachments (RD). In this prospective noncomparative interventional study, 32 eyes of 32 patients with RD after cataract surgery with phacoemulsification were evaluated. Primary pseudophakic RDs with macular detachment and proliferative vitreoretinopathy stage B or less were included in the study. The 23-gauge TSV, perfluorocarbon liquid injection followed by air exchange, endolaser photocoagulation and sulfur hexafluoride gas (20%) injection were applied to all eyes. Mean follow-up time was 9.3 months (range, 6-12 months). Retinal reattachment with a single operation was achieved in 93.75% of eyes and with additional surgery, the retina was reattached in 100% of eyes. Preoperative visual acuity was <20/200 in all eyes (range, hand motions to 20/400). Postoperative visual acuity was 20/40 or better in 15 eyes (46.88%) and 20/50 and 20/200 in 12 eyes (37.50%). No sutures were required to close the scleral and conjunctival openings. Postoperative complications were Transient hypotony in 2 eyes (6.25%) macular pucker in 2 eyes (6.25%) and cystoid macular edema in 2 eyes (6.25%).
Zhao Xiaohui, Xing Yiqiao, Li Zhi and He Tao, 2012. The Anatomical and Functional Outcomes of 23-Gauge Transconjunctival Sutureless Vitrectomy in Pseudophakic Retinal Detachment: A Prospective Interventional Study. Journal of Animal and Veterinary Advances, 11: 2323-2326.