Outcome of 20-gauge transconjunctival cannulated sutureless vitrectomy using silicone oil or air tamponade

Ahmed Abdel Alim Mohamed,1 Mohamed Abdrabbo21Ain Shams University, Faculty of Medicine, Ophthalmology Department, Cairo; 2Faculty of Medicine, Ophthalmology Department, Benha University, Benha, EgyptBackground: The purpose of this study was to assess the outcome of pars plana vitrectomy using a 20-g...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mohamed AA, Abdrabbo M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7e2544ddd9174dd08fb3dc907c61be31
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7e2544ddd9174dd08fb3dc907c61be31
record_format	dspace
spelling	oai:doaj.org-article:7e2544ddd9174dd08fb3dc907c61be312021-12-02T02:33:46ZOutcome of 20-gauge transconjunctival cannulated sutureless vitrectomy using silicone oil or air tamponade1177-54671177-5483https://doaj.org/article/7e2544ddd9174dd08fb3dc907c61be312013-02-01T00:00:00Zhttp://www.dovepress.com/outcome-of-20-gauge-transconjunctival-cannulated-sutureless-vitrectomy-a12249https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Ahmed Abdel Alim Mohamed,1 Mohamed Abdrabbo21Ain Shams University, Faculty of Medicine, Ophthalmology Department, Cairo; 2Faculty of Medicine, Ophthalmology Department, Benha University, Benha, EgyptBackground: The purpose of this study was to assess the outcome of pars plana vitrectomy using a 20-gauge transconjunctival cannulated sutureless system with air or silicone oil tamponade in cases of retinal detachment of different etiologies.Methods: A prospective study was performed in 60 eyes from consecutive 60 patients who underwent 20-gauge transconjunctival cannulated sutureless vitrectomy (30 eyes with air tamponade and 30 eyes with silicone oil tamponade), with the inclusion of a further 30 patients who underwent conventional 20-gauge vitrectomy and served as a control group. The main outcome measures were intraocular pressure, wound leakage, and comfort score.Results: Preoperative intraocular pressure increased from 17.67 &plusmn; 5.6 mmHg preoperatively to 18.78 &plusmn; 6.1 mmHg on the first postoperative day in group A and decreased from 16.97 &plusmn; 4.9 mmHg to 15.88 &plusmn; 5.3 mmHg in group B. These changes were not statistically significant (P &gt; 0.05). The comfort score ranged from 1 to 5 (1 = very bad, 2 = bad, 3 = good, 4 = very good, and 5 = excellent), with a mean of 4.4 &plusmn; 0.94 in group A and 4.35 &plusmn; 0.99 in group B on the first postoperative day, and no significant difference in scores between the groups at any follow-up visit. There was intraoperative wound leakage in two cases (6.7%) in group A which required suturing and one case (3.3%) in group B, but the difference was not statistically significant (P &gt; 0.05). There was no wound leakage at follow-up in either group. No cases of hypotony, endophthalmitis, or unsealed sclerotomies were noted.Conclusion: Pars plana vitrectomy using a 20-gauge transconjunctival cannulated sutureless system combines the advantages of smaller-gauge vitrectomy systems with the economic advantage of not needing to purchase any additional handheld instruments. It can be used with both air and silicone oil tamponade in most cases of retinal detachment.Keywords: 20-gauge transconjunctival cannulated sutureless system, intraocular pressure, wound leakageMohamed AAAbdrabbo MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 379-384 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Mohamed AA Abdrabbo M Outcome of 20-gauge transconjunctival cannulated sutureless vitrectomy using silicone oil or air tamponade
description	Ahmed Abdel Alim Mohamed,1 Mohamed Abdrabbo21Ain Shams University, Faculty of Medicine, Ophthalmology Department, Cairo; 2Faculty of Medicine, Ophthalmology Department, Benha University, Benha, EgyptBackground: The purpose of this study was to assess the outcome of pars plana vitrectomy using a 20-gauge transconjunctival cannulated sutureless system with air or silicone oil tamponade in cases of retinal detachment of different etiologies.Methods: A prospective study was performed in 60 eyes from consecutive 60 patients who underwent 20-gauge transconjunctival cannulated sutureless vitrectomy (30 eyes with air tamponade and 30 eyes with silicone oil tamponade), with the inclusion of a further 30 patients who underwent conventional 20-gauge vitrectomy and served as a control group. The main outcome measures were intraocular pressure, wound leakage, and comfort score.Results: Preoperative intraocular pressure increased from 17.67 &plusmn; 5.6 mmHg preoperatively to 18.78 &plusmn; 6.1 mmHg on the first postoperative day in group A and decreased from 16.97 &plusmn; 4.9 mmHg to 15.88 &plusmn; 5.3 mmHg in group B. These changes were not statistically significant (P &gt; 0.05). The comfort score ranged from 1 to 5 (1 = very bad, 2 = bad, 3 = good, 4 = very good, and 5 = excellent), with a mean of 4.4 &plusmn; 0.94 in group A and 4.35 &plusmn; 0.99 in group B on the first postoperative day, and no significant difference in scores between the groups at any follow-up visit. There was intraoperative wound leakage in two cases (6.7%) in group A which required suturing and one case (3.3%) in group B, but the difference was not statistically significant (P &gt; 0.05). There was no wound leakage at follow-up in either group. No cases of hypotony, endophthalmitis, or unsealed sclerotomies were noted.Conclusion: Pars plana vitrectomy using a 20-gauge transconjunctival cannulated sutureless system combines the advantages of smaller-gauge vitrectomy systems with the economic advantage of not needing to purchase any additional handheld instruments. It can be used with both air and silicone oil tamponade in most cases of retinal detachment.Keywords: 20-gauge transconjunctival cannulated sutureless system, intraocular pressure, wound leakage
format	article
author	Mohamed AA Abdrabbo M
author_facet	Mohamed AA Abdrabbo M
author_sort	Mohamed AA
title	Outcome of 20-gauge transconjunctival cannulated sutureless vitrectomy using silicone oil or air tamponade
title_short	Outcome of 20-gauge transconjunctival cannulated sutureless vitrectomy using silicone oil or air tamponade
title_full	Outcome of 20-gauge transconjunctival cannulated sutureless vitrectomy using silicone oil or air tamponade
title_fullStr	Outcome of 20-gauge transconjunctival cannulated sutureless vitrectomy using silicone oil or air tamponade
title_full_unstemmed	Outcome of 20-gauge transconjunctival cannulated sutureless vitrectomy using silicone oil or air tamponade
title_sort	outcome of 20-gauge transconjunctival cannulated sutureless vitrectomy using silicone oil or air tamponade
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/7e2544ddd9174dd08fb3dc907c61be31
work_keys_str_mv	AT mohamedaa outcomeof20gaugetransconjunctivalcannulatedsuturelessvitrectomyusingsiliconeoilorairtamponade AT abdrabbom outcomeof20gaugetransconjunctivalcannulatedsuturelessvitrectomyusingsiliconeoilorairtamponade
_version_	1718402417923457024

Outcome of 20-gauge transconjunctival cannulated sutureless vitrectomy using silicone oil or air tamponade

Ejemplares similares