Influence of sclerotomy use on vitreous incarceration in an experimental model of vitrectomized eye

Javier Benitez-Herreros,1 Lorenzo Lopez-Guajardo,1,2 Cristina Camara-Gonzalez,1 Aurora Perez-Crespo,1 Agustin Silva-Mato,3 Miguel A Teus1,2 1Department of Ophthalmology, University Hospital Príncipe de Asturias, Madrid, Spain; 2Department of Surgery, Medical and Social Sciences, Faculty o...

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Autores principales: Benitez-Herreros J, Lopez-Guajardo L, Camara-Gonzalez C, Perez-Crespo A, Silva-Mato A, Teus MA
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Publicado: Dove Medical Press 2013
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spelling oai:doaj.org-article:d213998f3d9e47d0bd81e8efe3614e3f2021-12-02T05:02:26ZInfluence of sclerotomy use on vitreous incarceration in an experimental model of vitrectomized eye1177-54671177-5483https://doaj.org/article/d213998f3d9e47d0bd81e8efe3614e3f2013-07-01T00:00:00Zhttp://www.dovepress.com/influence-of-sclerotomy-use-on-vitreous-incarceration-in-an-experiment-a13703https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Javier Benitez-Herreros,1 Lorenzo Lopez-Guajardo,1,2 Cristina Camara-Gonzalez,1 Aurora Perez-Crespo,1 Agustin Silva-Mato,3 Miguel A Teus1,2 1Department of Ophthalmology, University Hospital Príncipe de Asturias, Madrid, Spain; 2Department of Surgery, Medical and Social Sciences, Faculty of Medicine, Alcalá University, Madrid, Spain; 3Department of Health and Sociomedical Sciences, Alcalá University, Madrid, Spain Purpose: To evaluate the influence of sclerotomy use during vitrectomy (vitreous cutter, illumination probe, or infusion-line entrance) on postoperative vitreous incarceration using an experimental model of vitrectomized eye. Materials and methods: Experimental, randomized, and observer-masked study in which 23-gauge transconjunctival sutureless vitrectomy was performed in cadaveric pig eyes. Postoperative incisional vitreous entrapment was evaluated by direct visualization. No vitreous incarceration was classified as grade 0 (G0), thin vitreous entrapment was classified as grade 1 (G1), and thick vitreous strands as grade 2 (G2). Results: A total of 46 eyes were included. Vitreous incarceration was detected in 91.3% (43.5% G1, 47.8% G2) of the sclerotomies used by the vitreous cutter probe, 95.7% (45.7% G1, 50% G2) of the illumination-pipe entrances, and 93.5% (45.7% G1, 47.8% G2) of the infusion-line incisions. No statistical differences were found when comparing incisional vitreous incarceration after vitrectomy according to sclerotomy use. Conclusion: Different manipulation of the sclerotomies, depending on their use, does not seem to influence postvitrectomy vitreous entrapment in our experimental model. Keywords: vitrectomy, vitreous incarceration, direct visualization, sclerotomy use, experimental modelBenitez-Herreros JLopez-Guajardo LCamara-Gonzalez CPerez-Crespo ASilva-Mato ATeus MADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1471-1476 (2013)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Benitez-Herreros J
Lopez-Guajardo L
Camara-Gonzalez C
Perez-Crespo A
Silva-Mato A
Teus MA
Influence of sclerotomy use on vitreous incarceration in an experimental model of vitrectomized eye
description Javier Benitez-Herreros,1 Lorenzo Lopez-Guajardo,1,2 Cristina Camara-Gonzalez,1 Aurora Perez-Crespo,1 Agustin Silva-Mato,3 Miguel A Teus1,2 1Department of Ophthalmology, University Hospital Príncipe de Asturias, Madrid, Spain; 2Department of Surgery, Medical and Social Sciences, Faculty of Medicine, Alcalá University, Madrid, Spain; 3Department of Health and Sociomedical Sciences, Alcalá University, Madrid, Spain Purpose: To evaluate the influence of sclerotomy use during vitrectomy (vitreous cutter, illumination probe, or infusion-line entrance) on postoperative vitreous incarceration using an experimental model of vitrectomized eye. Materials and methods: Experimental, randomized, and observer-masked study in which 23-gauge transconjunctival sutureless vitrectomy was performed in cadaveric pig eyes. Postoperative incisional vitreous entrapment was evaluated by direct visualization. No vitreous incarceration was classified as grade 0 (G0), thin vitreous entrapment was classified as grade 1 (G1), and thick vitreous strands as grade 2 (G2). Results: A total of 46 eyes were included. Vitreous incarceration was detected in 91.3% (43.5% G1, 47.8% G2) of the sclerotomies used by the vitreous cutter probe, 95.7% (45.7% G1, 50% G2) of the illumination-pipe entrances, and 93.5% (45.7% G1, 47.8% G2) of the infusion-line incisions. No statistical differences were found when comparing incisional vitreous incarceration after vitrectomy according to sclerotomy use. Conclusion: Different manipulation of the sclerotomies, depending on their use, does not seem to influence postvitrectomy vitreous entrapment in our experimental model. Keywords: vitrectomy, vitreous incarceration, direct visualization, sclerotomy use, experimental model
format article
author Benitez-Herreros J
Lopez-Guajardo L
Camara-Gonzalez C
Perez-Crespo A
Silva-Mato A
Teus MA
author_facet Benitez-Herreros J
Lopez-Guajardo L
Camara-Gonzalez C
Perez-Crespo A
Silva-Mato A
Teus MA
author_sort Benitez-Herreros J
title Influence of sclerotomy use on vitreous incarceration in an experimental model of vitrectomized eye
title_short Influence of sclerotomy use on vitreous incarceration in an experimental model of vitrectomized eye
title_full Influence of sclerotomy use on vitreous incarceration in an experimental model of vitrectomized eye
title_fullStr Influence of sclerotomy use on vitreous incarceration in an experimental model of vitrectomized eye
title_full_unstemmed Influence of sclerotomy use on vitreous incarceration in an experimental model of vitrectomized eye
title_sort influence of sclerotomy use on vitreous incarceration in an experimental model of vitrectomized eye
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/d213998f3d9e47d0bd81e8efe3614e3f
work_keys_str_mv AT benitezherrerosj influenceofsclerotomyuseonvitreousincarcerationinanexperimentalmodelofvitrectomizedeye
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AT camaragonzalezc influenceofsclerotomyuseonvitreousincarcerationinanexperimentalmodelofvitrectomizedeye
AT perezcrespoa influenceofsclerotomyuseonvitreousincarcerationinanexperimentalmodelofvitrectomizedeye
AT silvamatoa influenceofsclerotomyuseonvitreousincarcerationinanexperimentalmodelofvitrectomizedeye
AT teusma influenceofsclerotomyuseonvitreousincarcerationinanexperimentalmodelofvitrectomizedeye
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