Background And Objective: To investigate the short-term complication profile of the transconjunctival 20-gauge trocar-cannula (20g-TCV) system.
Patients And Methods: Patients who underwent primary 20g-TCV without history of prior vitrectomy were included. The primary outcome was incidence of short-term hypotony. Other data collected included visual acuity (VA), rate of sclerotomy suture placement, and intraoperative and postoperative complications.
Results: One hundred twenty-seven eyes of 120 patients were included. Postoperative complications included hypotony in 10.2% of eyes at the first postoperative day and 4.7% at week 1, all with spontaneous resolution. No cases of endophthalmitis were observed. Overall mean VA significantly improved from 20/375 preoperatively to 20/221 at month 3.
Conclusion: Although the rate of short-term hypotony was relatively high, it was transient. This 20g-TCV system does not appear to be associated with other intraoperative or postoperative complications. The authors recommend a low threshold for sclerotomy suture placement if adopting this system.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3928/15428877-20110603-06 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A simple transconjunctival technique for the management of intraconal orbital hydatid cyst.
Indian J Ophthalmol
September 2024
Department of Ophthalmology, Assiut University Hospital, Assiut, Egypt.
Purpose: To present a simple transconjunctival technique for the excision of intraconal orbital hydatid cysts.
Methods: This retrospective, non-comparative, clinical intervention case study was conducted between April 2018 and October 2023. The study included five patients presented to the Orbital unit of Assiut University Hospital with an intraconal orbital cyst, which histologically proved to be a hydatid cyst.
A Randomized Controlled Clinical Trial Comparing 20 Gauge and 23 Gauge Vitrectomy for Patients with Macular Hole or Macular Pucker.
Adv Ther
December 2018
Department of Ophthalmology, University Hospital of Cologne, Kerpener Str. 62, 50924, Cologne, Germany.
Introduction: To compare the transconjunctival sutureless 23 gauge (G) pars plana vitrectomy (PPV) with 20 G PPV regarding inflammation, safety, visual outcome and patient comfort.
Methods: We included 103 patients with symptomatic macular hole or macular pucker, scheduled for vitrectomy in this prospective, randomized, controlled, mono-center clinical trial. Patients were randomized 1:1 to either 20G PPV (n = 51) or 23G PPV (n = 52).
Comparison of 23 Gauge Transconjunctival releasable Suture Vitrectomy with standard 20 gauge Vitrectomy.
Pak J Med Sci
January 2018
Dr. Irfan Karamat, FCPS, MRCS. Department of Ophthalmology, King Edward Medical College Mayo Hospital, Lahore, Pakistan.
Objective: To compare effectiveness of releasable transconjunctival sutures in 23 gauge vitrectomy and standard 20 gauge vitrectomy.
Methods: This prospective comparative study was conducted in Department of Vitreoretinal Surgery, Al Ehsan Eye Hospital, Lahore from June 2016 to March 2017. It included 84 patients in total (Group-A: 42 patients underwent 23 gauge releasable suture vitrectomy; Group-B: 42 patients who underwent standard 20 gauge vitrectomy).
Comparative study of 25- versus 20-gauge pars plana capsulotomy and vitrectomy in pediatric cataract surgery.
Int Ophthalmol
February 2018
Maulana Azad Medical College, Guru Nanak Eye Centre, New Delhi, 110002, India.
Purpose: To compare 25- and 20-gauge pars plana vitrectomy (PPV) for the management of pediatric cataract.
Methods: 20 eyes of 15 patients were randomly divided into two groups to undergo pars plana capsulotomy and vitrectomy by either 25-gauge (group A) or 20-gauge (group B) PPV after lens aspiration and IOL implantation. The two groups were compared for total surgical time, time taken in doing pars plana capsulotomy and vitrectomy, and the size of posterior capsulotomy.
Vitrectomy with and without encircling band for pseudophakic retinal detachment: VIPER Study Report No 2-main results.
Br J Ophthalmol
June 2017
Department of Ophthalmology, RWTH Aachen University, Aachen, Germany.
Background: It is unclear whether or not an additional encircling band improves outcome in vitrectomy for pseudophakic retinal detachment (PRD). Also unclear is whether small gauge transconjunctival trocar-guided vitrectomy is as successful as conventional 20 gauge (G) vitrectomy.
Methods: 257 adult patients with uncomplicated PRD were enrolled in 14 vitreoretinal centres across Germany.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!