Different techniques of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders

Hammouda H Ghoraba,1,2 Sameh M Elgouhary,3 Amin F Ellakwa3 1Department of Ophthalmology, Tanta University, Tanta, Egypt; 2Vitreoretinal Unit, Magrabi Eye Hospital, Tanta, Egypt; 3Department of Ophthalmology, Menoufiya University, Menufia, Egypt Purpose: To evaluate the safety and efficacy of differe...

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Autores principales:	Ghoraba HH, Elgouhary SM, Ellakwa AF
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/a8a9f9c63b7549b9850b8c2f64674dc8
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spelling	oai:doaj.org-article:a8a9f9c63b7549b9850b8c2f64674dc82021-12-02T06:34:25ZDifferent techniques of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders1177-54671177-5483https://doaj.org/article/a8a9f9c63b7549b9850b8c2f64674dc82013-09-01T00:00:00Zhttp://www.dovepress.com/different-techniques-of-transconjunctival-cannulated-vitrectomy-versus-a14440https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Hammouda H Ghoraba,1,2 Sameh M Elgouhary,3 Amin F Ellakwa3 1Department of Ophthalmology, Tanta University, Tanta, Egypt; 2Vitreoretinal Unit, Magrabi Eye Hospital, Tanta, Egypt; 3Department of Ophthalmology, Menoufiya University, Menufia, Egypt Purpose: To evaluate the safety and efficacy of different methods of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders. Methods: A prospective randomized study was done from August 2009 to February 2011. The study included 129 eyes of 122 patients, randomly divided into four groups. Group 1 comprised 34 eyes operated on using transconjunctival 20-gauge cannula Claes system. Group 2 comprised 32 eyes operated on using transconjunctival cannulated 23 gauge system. Group 3 comprised 27 eyes operated on using combined 20-gauge non-cannulated and 23-gauge transconjunctival cannulated system. Group 4 comprised 36 eyes operated on using conventional non-cannulated 20-gauge system. Results: The four groups were demographically similar. Anatomical outcome was achieved in all cases. Vision was improved in 29 eyes (85.3%) in group 1, 23 eyes (71.9%) in group 2, 19 eyes (70.4%) in group 3, and 26 eyes (72.2%) in group 4. There was no statistical difference between the four groups 1-day postoperative (P=0.405) and 1-week postoperative intraocular pressure (P=0.254). The number of sutureless sclerotomies was 68 (66.6%) in group 1, 78 (81.3%) in group 2, 50 (61.8%) in group 3, and 0 in group 4. Hypotony occurred in one eye (2.9%) in group 1, three eyes (9.4%) in group 2, two eyes (7.4%) in group 3, and no eyes in group 4. Operative endophthalmitis did not occur in any one of the four groups. Conclusion: Final anatomical and functional outcomes were not related to the type of sclerotomy used (cannulated or non-cannulated), the gauge used (20 or 23), the route (transconjunctival or transscleral), or type of suture used. The advantages of small-gauge transconjunctival vitrectomy were patient comfort, early ambulation, and preservation of the conjunctiva. This should be weighed against the cost of this cannula system. Keywords: 20 gauge, 23 gauge, PPV, sutureless vitrectomyGhoraba HHElgouhary SMEllakwa AFDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1859-1865 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Ghoraba HH Elgouhary SM Ellakwa AF Different techniques of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders
description	Hammouda H Ghoraba,1,2 Sameh M Elgouhary,3 Amin F Ellakwa3 1Department of Ophthalmology, Tanta University, Tanta, Egypt; 2Vitreoretinal Unit, Magrabi Eye Hospital, Tanta, Egypt; 3Department of Ophthalmology, Menoufiya University, Menufia, Egypt Purpose: To evaluate the safety and efficacy of different methods of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders. Methods: A prospective randomized study was done from August 2009 to February 2011. The study included 129 eyes of 122 patients, randomly divided into four groups. Group 1 comprised 34 eyes operated on using transconjunctival 20-gauge cannula Claes system. Group 2 comprised 32 eyes operated on using transconjunctival cannulated 23 gauge system. Group 3 comprised 27 eyes operated on using combined 20-gauge non-cannulated and 23-gauge transconjunctival cannulated system. Group 4 comprised 36 eyes operated on using conventional non-cannulated 20-gauge system. Results: The four groups were demographically similar. Anatomical outcome was achieved in all cases. Vision was improved in 29 eyes (85.3%) in group 1, 23 eyes (71.9%) in group 2, 19 eyes (70.4%) in group 3, and 26 eyes (72.2%) in group 4. There was no statistical difference between the four groups 1-day postoperative (P=0.405) and 1-week postoperative intraocular pressure (P=0.254). The number of sutureless sclerotomies was 68 (66.6%) in group 1, 78 (81.3%) in group 2, 50 (61.8%) in group 3, and 0 in group 4. Hypotony occurred in one eye (2.9%) in group 1, three eyes (9.4%) in group 2, two eyes (7.4%) in group 3, and no eyes in group 4. Operative endophthalmitis did not occur in any one of the four groups. Conclusion: Final anatomical and functional outcomes were not related to the type of sclerotomy used (cannulated or non-cannulated), the gauge used (20 or 23), the route (transconjunctival or transscleral), or type of suture used. The advantages of small-gauge transconjunctival vitrectomy were patient comfort, early ambulation, and preservation of the conjunctiva. This should be weighed against the cost of this cannula system. Keywords: 20 gauge, 23 gauge, PPV, sutureless vitrectomy
format	article
author	Ghoraba HH Elgouhary SM Ellakwa AF
author_facet	Ghoraba HH Elgouhary SM Ellakwa AF
author_sort	Ghoraba HH
title	Different techniques of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders
title_short	Different techniques of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders
title_full	Different techniques of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders
title_fullStr	Different techniques of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders
title_full_unstemmed	Different techniques of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders
title_sort	different techniques of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/a8a9f9c63b7549b9850b8c2f64674dc8
work_keys_str_mv	AT ghorabahh differenttechniquesoftransconjunctivalcannulatedvitrectomyversusconventionalnoncannulatedvitrectomyinvariousvitreoretinaldisorders AT elgouharysm differenttechniquesoftransconjunctivalcannulatedvitrectomyversusconventionalnoncannulatedvitrectomyinvariousvitreoretinaldisorders AT ellakwaaf differenttechniquesoftransconjunctivalcannulatedvitrectomyversusconventionalnoncannulatedvitrectomyinvariousvitreoretinaldisorders
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Different techniques of transconjunctival cannulated vitrectomy versus conventional non-cannulated vitrectomy in various vitreoretinal disorders

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