Segmentation and removal of fibrovascular membranes with high-speed 23 G transconjunctival sutureless vitrectomy, in severe proliferative diabetic retinopathy

Erkan Celik,1 Ozkan Sever,2 Fatih Horozoglu,2 Ates Yanyali3 1Sakarya University Medical Education and Research Hospital, Sakarya, 2Namik Kemal University, School of Medicine, Tekirdag, 3Haydarpasa Numune Medical Education and Research Hospital, Istanbul, Turkey Aim: To evaluate the effectiveness a...

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Autores principales:	Celik E, Sever O, Horozoglu F, Yanyalı A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	diabetic fibrovascular proliferation transconjunctival sutureless vitrectomy high speed Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/ba77c21c7c264829ab581f07e8a914c1
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spelling	oai:doaj.org-article:ba77c21c7c264829ab581f07e8a914c12021-12-02T00:47:08ZSegmentation and removal of fibrovascular membranes with high-speed 23 G transconjunctival sutureless vitrectomy, in severe proliferative diabetic retinopathy1177-5483https://doaj.org/article/ba77c21c7c264829ab581f07e8a914c12016-05-01T00:00:00Zhttps://www.dovepress.com/segmentation-and-removal-of-fibrovascular-membranes-with-high-speed-23-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Erkan Celik,1 Ozkan Sever,2 Fatih Horozoglu,2 Ates Yanyali3 1Sakarya University Medical Education and Research Hospital, Sakarya, 2Namik Kemal University, School of Medicine, Tekirdag, 3Haydarpasa Numune Medical Education and Research Hospital, Istanbul, Turkey Aim: To evaluate the effectiveness and safety of high-speed (5,000 cuts per minute) 23 G transconjunctival sutureless vitrectomy (TSV) in severe diabetic fibrovascular proliferation (DFVP). Patients and methods: In this retrospective consecutive case series, patients who underwent 23 G TSV for severe DFVP between October 2011 and March 2014 at our institution were evaluated. 23 G TSV was performed with a high-speed (5,000 cuts per minute) cutter without a chandelier light. Results: The mean follow-up period was 8 months (range: 4–23 months). Of the 27 eyes of 27 patients, 14 eyes (52%) underwent concomitant phacoemulsification with posterior chamber intraocular lens implantation, nine eyes (33%) were pseudophakic, and four eyes were phakic (15%). DFVP was removed with ease in all, and visual acuity was improved in 18 (67%) eyes. Iatrogenic retinal tear was observed in four eyes (15%) and treated successfully during surgery. Suture placement to a single sclerotomy was performed in eight eyes (30%). Postoperative intraocular hemorrhage was observed in five eyes (18%). Cataract formation was observed in two of the four phakic eyes. Three (11%) patients had postoperative intraocular pressure rise. Postoperative hypotony (≤6 mmHg) and endophthalmitis were not observed in any eye. Conclusion: The segmentation and removal of fibrovascular membranes with high-speed 23 G TSV seems to be a safe and easy method in severe diabetic eye disease. Keywords: diabetic fibrovascular proliferation, transconjunctival sutureless vitrectomy, high speedCelik ESever OHorozoglu FYanyalı ADove Medical Pressarticlediabetic fibrovascular proliferationtransconjunctival sutureless vitrectomyhigh speedOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 903-910 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetic fibrovascular proliferation transconjunctival sutureless vitrectomy high speed Ophthalmology RE1-994
spellingShingle	diabetic fibrovascular proliferation transconjunctival sutureless vitrectomy high speed Ophthalmology RE1-994 Celik E Sever O Horozoglu F Yanyalı A Segmentation and removal of fibrovascular membranes with high-speed 23 G transconjunctival sutureless vitrectomy, in severe proliferative diabetic retinopathy
description	Erkan Celik,1 Ozkan Sever,2 Fatih Horozoglu,2 Ates Yanyali3 1Sakarya University Medical Education and Research Hospital, Sakarya, 2Namik Kemal University, School of Medicine, Tekirdag, 3Haydarpasa Numune Medical Education and Research Hospital, Istanbul, Turkey Aim: To evaluate the effectiveness and safety of high-speed (5,000 cuts per minute) 23 G transconjunctival sutureless vitrectomy (TSV) in severe diabetic fibrovascular proliferation (DFVP). Patients and methods: In this retrospective consecutive case series, patients who underwent 23 G TSV for severe DFVP between October 2011 and March 2014 at our institution were evaluated. 23 G TSV was performed with a high-speed (5,000 cuts per minute) cutter without a chandelier light. Results: The mean follow-up period was 8 months (range: 4–23 months). Of the 27 eyes of 27 patients, 14 eyes (52%) underwent concomitant phacoemulsification with posterior chamber intraocular lens implantation, nine eyes (33%) were pseudophakic, and four eyes were phakic (15%). DFVP was removed with ease in all, and visual acuity was improved in 18 (67%) eyes. Iatrogenic retinal tear was observed in four eyes (15%) and treated successfully during surgery. Suture placement to a single sclerotomy was performed in eight eyes (30%). Postoperative intraocular hemorrhage was observed in five eyes (18%). Cataract formation was observed in two of the four phakic eyes. Three (11%) patients had postoperative intraocular pressure rise. Postoperative hypotony (≤6 mmHg) and endophthalmitis were not observed in any eye. Conclusion: The segmentation and removal of fibrovascular membranes with high-speed 23 G TSV seems to be a safe and easy method in severe diabetic eye disease. Keywords: diabetic fibrovascular proliferation, transconjunctival sutureless vitrectomy, high speed
format	article
author	Celik E Sever O Horozoglu F Yanyalı A
author_facet	Celik E Sever O Horozoglu F Yanyalı A
author_sort	Celik E
title	Segmentation and removal of fibrovascular membranes with high-speed 23 G transconjunctival sutureless vitrectomy, in severe proliferative diabetic retinopathy
title_short	Segmentation and removal of fibrovascular membranes with high-speed 23 G transconjunctival sutureless vitrectomy, in severe proliferative diabetic retinopathy
title_full	Segmentation and removal of fibrovascular membranes with high-speed 23 G transconjunctival sutureless vitrectomy, in severe proliferative diabetic retinopathy
title_fullStr	Segmentation and removal of fibrovascular membranes with high-speed 23 G transconjunctival sutureless vitrectomy, in severe proliferative diabetic retinopathy
title_full_unstemmed	Segmentation and removal of fibrovascular membranes with high-speed 23 G transconjunctival sutureless vitrectomy, in severe proliferative diabetic retinopathy
title_sort	segmentation and removal of fibrovascular membranes with high-speed 23 g transconjunctival sutureless vitrectomy, in severe proliferative diabetic retinopathy
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/ba77c21c7c264829ab581f07e8a914c1
work_keys_str_mv	AT celike segmentationandremovaloffibrovascularmembraneswithhighspeed23gtransconjunctivalsuturelessvitrectomyinsevereproliferativediabeticretinopathy AT severo segmentationandremovaloffibrovascularmembraneswithhighspeed23gtransconjunctivalsuturelessvitrectomyinsevereproliferativediabeticretinopathy AT horozogluf segmentationandremovaloffibrovascularmembraneswithhighspeed23gtransconjunctivalsuturelessvitrectomyinsevereproliferativediabeticretinopathy AT yanyalıa segmentationandremovaloffibrovascularmembraneswithhighspeed23gtransconjunctivalsuturelessvitrectomyinsevereproliferativediabeticretinopathy
_version_	1718403521025409024

Segmentation and removal of fibrovascular membranes with high-speed 23 G transconjunctival sutureless vitrectomy, in severe proliferative diabetic retinopathy

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