Perioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade
Hirotsugu Takashina,1,2 Akira Watanabe,2 Hiroshi Tsuneoka2 1Department of Ophthalmology, National Hospital Organization Sagamihara Hospital, 2Department of Ophthalmology, Jikei University School of Medicine, Tokyo, Japan Purpose: The purpose of this study was to compare perioperative intraocular p...
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Dove Medical Press
2017
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oai:doaj.org-article:bd8f655215424a42a57d7ba08b56129f2021-12-02T07:09:23ZPerioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade1177-5483https://doaj.org/article/bd8f655215424a42a57d7ba08b56129f2017-04-01T00:00:00Zhttps://www.dovepress.com/perioperative-changes-of-the-intraocular-pressure-during-the-treatment-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Hirotsugu Takashina,1,2 Akira Watanabe,2 Hiroshi Tsuneoka2 1Department of Ophthalmology, National Hospital Organization Sagamihara Hospital, 2Department of Ophthalmology, Jikei University School of Medicine, Tokyo, Japan Purpose: The purpose of this study was to compare perioperative intraocular pressures (IOPs) in 25- or 27-gauge microincision vitrectomy surgery (MIVS) and to evaluate the stability of postoperative sclerotomy closure. Materials and methods: This is a retrospective review of 147 eyes treated for epiretinal membrane by using 25- or 27-gauge MIVS as the initial vitrectomy (25-gauge phacovitrectomy [25-P group]: 73 eyes, 25-gauge vitrectomy alone [25-A group]: 15 eyes, 27-gauge phacovitrectomy [27-P group]: 47 eyes, and 27-gauge vitrectomy alone [27-A group]: 12 eyes). Statistical analyses of perioperative IOPs on preoperative day (PreOp), postoperative day (POD)1, POD2, postoperative week 1, and postoperative month 1 were performed. Results: All self-sealing sclerotomies were obtained without gas tamponade at the end of surgery. Also, no significant differences were noted in the age and axial length among the 4 groups and in the surgical time between 25-P and 27-P groups and between 25-A and 27-A groups. Significant decreases in IOP were found at POD1 and POD2 in the 25-P, 25-A, and 27-P groups compared with PreOP, but not in the 27-A group. Conclusion: Even though surgeons confirm that there is no leakage from sutureless sclerotomy and that a normal IOP is preserved at the end of 25- or 27-gauge MIVS, there is a possibility of postoperative sclerotomy leakage on the day of the surgery. Furthermore, postoperative sclerotomy self-sealing of the MIVS in previous intraocular lens implantation cases is considered to be acquired easily than that in phacovitrectomy. Keywords: self-sealing, sclerotomy, leakage, remnant vitreous, ciliochoroidal detachment, microincision, phacovitrectomyTakashina HWatanabe ATsuneoka HDove Medical Pressarticleself-sealingsuturelesssclerotomy leakageremnant vitreousciliochoroidal detachment27-gaugeOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 739-743 (2017) |
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self-sealing sutureless sclerotomy leakage remnant vitreous ciliochoroidal detachment 27-gauge Ophthalmology RE1-994 |
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self-sealing sutureless sclerotomy leakage remnant vitreous ciliochoroidal detachment 27-gauge Ophthalmology RE1-994 Takashina H Watanabe A Tsuneoka H Perioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade |
| description |
Hirotsugu Takashina,1,2 Akira Watanabe,2 Hiroshi Tsuneoka2 1Department of Ophthalmology, National Hospital Organization Sagamihara Hospital, 2Department of Ophthalmology, Jikei University School of Medicine, Tokyo, Japan Purpose: The purpose of this study was to compare perioperative intraocular pressures (IOPs) in 25- or 27-gauge microincision vitrectomy surgery (MIVS) and to evaluate the stability of postoperative sclerotomy closure. Materials and methods: This is a retrospective review of 147 eyes treated for epiretinal membrane by using 25- or 27-gauge MIVS as the initial vitrectomy (25-gauge phacovitrectomy [25-P group]: 73 eyes, 25-gauge vitrectomy alone [25-A group]: 15 eyes, 27-gauge phacovitrectomy [27-P group]: 47 eyes, and 27-gauge vitrectomy alone [27-A group]: 12 eyes). Statistical analyses of perioperative IOPs on preoperative day (PreOp), postoperative day (POD)1, POD2, postoperative week 1, and postoperative month 1 were performed. Results: All self-sealing sclerotomies were obtained without gas tamponade at the end of surgery. Also, no significant differences were noted in the age and axial length among the 4 groups and in the surgical time between 25-P and 27-P groups and between 25-A and 27-A groups. Significant decreases in IOP were found at POD1 and POD2 in the 25-P, 25-A, and 27-P groups compared with PreOP, but not in the 27-A group. Conclusion: Even though surgeons confirm that there is no leakage from sutureless sclerotomy and that a normal IOP is preserved at the end of 25- or 27-gauge MIVS, there is a possibility of postoperative sclerotomy leakage on the day of the surgery. Furthermore, postoperative sclerotomy self-sealing of the MIVS in previous intraocular lens implantation cases is considered to be acquired easily than that in phacovitrectomy. Keywords: self-sealing, sclerotomy, leakage, remnant vitreous, ciliochoroidal detachment, microincision, phacovitrectomy |
| format |
article |
| author |
Takashina H Watanabe A Tsuneoka H |
| author_facet |
Takashina H Watanabe A Tsuneoka H |
| author_sort |
Takashina H |
| title |
Perioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade |
| title_short |
Perioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade |
| title_full |
Perioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade |
| title_fullStr |
Perioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade |
| title_full_unstemmed |
Perioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade |
| title_sort |
perioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade |
| publisher |
Dove Medical Press |
| publishDate |
2017 |
| url |
https://doaj.org/article/bd8f655215424a42a57d7ba08b56129f |
| work_keys_str_mv |
AT takashinah perioperativechangesoftheintraocularpressureduringthetreatmentofepiretinalmembranebyusing25or27gaugesuturelessvitrectomywithoutgastamponade AT watanabea perioperativechangesoftheintraocularpressureduringthetreatmentofepiretinalmembranebyusing25or27gaugesuturelessvitrectomywithoutgastamponade AT tsuneokah perioperativechangesoftheintraocularpressureduringthetreatmentofepiretinalmembranebyusing25or27gaugesuturelessvitrectomywithoutgastamponade |
| _version_ |
1718399598439956480 |