J Korean Ophthalmol Soc > Volume 52(2); 2011 > Article
Journal of the Korean Ophthalmological Society 2011;52(2):190-196.
DOI: https://doi.org/10.3341/jkos.2011.52.2.190    Published online February 15, 2011.
Primary 23 Gauge Transconjunctival Sutureless Vitrectomy With Air Tamponade for Simple Rhegmatogenous Retinal Detachment.
Oh Jae Kim, Tae Gon Lee, Sung Jin Na
Department of Ophthalmology, Konyang University Hospital, Daejeon, Korea. said8@hanmail.net
단순열공망막박리에서 눈속공기충전을 이용한 23게이지 경결막무봉합 일차유리체절제술의 임상결과
김오제⋅이태곤⋅나성진
Department of Ophthalmology, Konyang University Hospital, Daejeon, Korea
Abstract
PURPOSE
To evaluate the surgical outcomes of primary 23-gauge (23G) transconjunctival sutureless vitrectomy (TSV) with air tamponade in patients with idiopathic simple rhegmatogenous retinal detachment (RRD). METHODS: A chart review of 38 eyes with idiopathic simple RRD which underwent primary 23G TSV with air tamponade and without prone positioning by a single vitreoretinal surgeon was retrospectively performed. All cases were followed up for a minimum of 3 months after the operation. RESULTS: The primary anatomical success rate was 94.7% (36/38 eyes). Preoperative mean logMAR (Snellen) best corrected visual acuity (BCVA) was 0.81 +/- 0.13 and improved to 0.63 +/- 0.37 and 0.48 +/- 0.37 at postoperative 1 week and 3 months (p < 0.05), respectively. The mean 21.35% amount of air bubble remained in the vitreous cavity at postoperative 1 week and the residual air bubble was completely absorbed at postoperative 2 weeks. Complications were sclerotomy site leakage (1 eye), cataract (3 eyes), vitreous hemorrhage (1 eye), epiretinal membrane (2 eyes) and increased intraocular pressure (3 eyes). CONCLUSIONS: The use of 23G TSV with air tamponade in cases with idiopathic simple RRD may be an effective and safe surgical technique.
Key Words: Air tamponade;Primary vitrectomy;Retinal detachment;23-Gauge transconjunctival sutureless vitrectomy


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