The Clinical Results of Sutureless Vitrectomy Using 23-Gauge Surgical System.

Han, Jung Il; Cho, Sung Won; Lee, Tae Gon; Kim, Jong Woo; Lee, Jae Heung

doi:2008.49.6.911

J Korean Ophthalmol Soc > Volume 49(6); 2008 > Article

Original Article

Journal of the Korean Ophthalmological Society 2008;49(6):911-916.
DOI: https://doi.org/10.3341/jkos.2008.49.6.911 Published online June 15, 2008.

The Clinical Results of Sutureless Vitrectomy Using 23-Gauge Surgical System.

Jung Il Han, Sung Won Cho, Tae Gon Lee, Jong Woo Kim, Jae Heung Lee

¹Myung-Gok Eye Research Institute, Konyang University Kim's Eye Hospital, Seoul, Korea. eyecure@kimeye.com
²Department of Ophthalmology, College of Medicine, Konyang University, Deajeon, Korea.

23게이지 무봉합 유리체 절제술의 임상 결과

한정일¹ㆍ조성원¹ㆍ이태곤²ㆍ김종우²ㆍ이재흥¹

Myung-Gok Eye Research Institute, Konyang University Kim’s Eye Hospital1, Seoul, Korea / Department of Ophthalmology, College of Medicine, Konyang University2, Deajeon, Korea

Abstract

PURPOSE
The purpose of this study is to evaluate the clinical results of 23-gauge sutureless vitrectomy. METHODS: We retrospectively analyzed 111 eyes that had undergone 23-gauge sutureless vitrectomy. The eyes underwent surgery from February 2006 to July 2006 and were examined for surgical outcome as well as intraoperative and postoperative complications. RESULTS: The preoperative best corrected visual acuity (BCVA) was 1.43+/-0.12 and increased to 0.88+/-0.11 (P>0.01). Thirteen (11.7%) of 111 eyes developed intraoperative complications, and 21 (18.9%) of 111 eyes developed postoperative complications. Intraoperative complications included wound.leaking (seven eyes), conjunctival suture (three eyes), and difficult insertion (two eyes). Postoperative complications included postoperative hypotony (seven eyes), vitreous hemorrhage (seven eyes), hyphema (five eyes), and infectious endophthalmitis (two eyes). CONCLUSIONS: Unlike 20-gauge vitrectomy, sutureless 23-gauge vitrectomy offers all the advantages of minimally invasive sutureless vitrectomy.

Key Words: 23 gauge system;Sutureless vitrectomy