Problems associated with the 25-gauge transconjunctival sutureless vitrectomy system during and after surgery

Ho Byeon Suk; Kwang Chu Young; Chul Lee Sung; Jun Koh Hyoung; Soo Kim Sung; Woong Kwon Oh

doi:10.1159/000093081

Problems associated with the 25-gauge transconjunctival sutureless vitrectomy system during and after surgery

Ho Byeon Suk, Kwang Chu Young, Chul Lee Sung, Jun Koh Hyoung, Soo Kim Sung, Woong Kwon Oh

Department of Ophthalmology

Research output: Contribution to journal › Article › peer-review

82 Citations (Scopus)

Abstract

Objective: To report the initial experiences with the 25-gauge transconjunctival sutureless vitrectomy (TSV) system, including intraoperative and postoperative problems. Methods: We retrospectively reviewed the medical records and surgical videotapes of 50 consecutive patients who underwent vitrectomy performed by one surgeon using the TSV system. Results: Intraoperatively, we encountered such problems as difficulty in inserting the microcannula, which led to deformity, instability of the microcannula, self-disconnection of the infusion tip and resultant lens damage, and conversion to 20-gauge conventional vitrectomy. Postoperatively, there were 8 cases with hypotony (IOP < 6 mm Hg) on day 1, 6 cases with elevated IOP, and 3 cases with retinal detachment during follow-up. Conclusion: Though certain problems exist during and after surgeries using TSV, this system is both convenient and safe for various vitreoretinal procedures.

Original language	English
Pages (from-to)	259-265
Number of pages	7
Journal	Ophthalmologica
Volume	220
Issue number	4
DOIs	https://doi.org/10.1159/000093081
Publication status	Published - 2006 Jun

All Science Journal Classification (ASJC) codes

Ophthalmology
Sensory Systems

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10.1159/000093081

Cite this

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title = "Problems associated with the 25-gauge transconjunctival sutureless vitrectomy system during and after surgery",

abstract = "Objective: To report the initial experiences with the 25-gauge transconjunctival sutureless vitrectomy (TSV) system, including intraoperative and postoperative problems. Methods: We retrospectively reviewed the medical records and surgical videotapes of 50 consecutive patients who underwent vitrectomy performed by one surgeon using the TSV system. Results: Intraoperatively, we encountered such problems as difficulty in inserting the microcannula, which led to deformity, instability of the microcannula, self-disconnection of the infusion tip and resultant lens damage, and conversion to 20-gauge conventional vitrectomy. Postoperatively, there were 8 cases with hypotony (IOP < 6 mm Hg) on day 1, 6 cases with elevated IOP, and 3 cases with retinal detachment during follow-up. Conclusion: Though certain problems exist during and after surgeries using TSV, this system is both convenient and safe for various vitreoretinal procedures.",

author = "Suk, {Ho Byeon} and Young, {Kwang Chu} and Sung, {Chul Lee} and Hyoung, {Jun Koh} and Sung, {Soo Kim} and Oh, {Woong Kwon}",

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AU - Suk, Ho Byeon

AU - Young, Kwang Chu

AU - Sung, Chul Lee

AU - Hyoung, Jun Koh

AU - Sung, Soo Kim

AU - Oh, Woong Kwon

PY - 2006/6

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N2 - Objective: To report the initial experiences with the 25-gauge transconjunctival sutureless vitrectomy (TSV) system, including intraoperative and postoperative problems. Methods: We retrospectively reviewed the medical records and surgical videotapes of 50 consecutive patients who underwent vitrectomy performed by one surgeon using the TSV system. Results: Intraoperatively, we encountered such problems as difficulty in inserting the microcannula, which led to deformity, instability of the microcannula, self-disconnection of the infusion tip and resultant lens damage, and conversion to 20-gauge conventional vitrectomy. Postoperatively, there were 8 cases with hypotony (IOP < 6 mm Hg) on day 1, 6 cases with elevated IOP, and 3 cases with retinal detachment during follow-up. Conclusion: Though certain problems exist during and after surgeries using TSV, this system is both convenient and safe for various vitreoretinal procedures.

AB - Objective: To report the initial experiences with the 25-gauge transconjunctival sutureless vitrectomy (TSV) system, including intraoperative and postoperative problems. Methods: We retrospectively reviewed the medical records and surgical videotapes of 50 consecutive patients who underwent vitrectomy performed by one surgeon using the TSV system. Results: Intraoperatively, we encountered such problems as difficulty in inserting the microcannula, which led to deformity, instability of the microcannula, self-disconnection of the infusion tip and resultant lens damage, and conversion to 20-gauge conventional vitrectomy. Postoperatively, there were 8 cases with hypotony (IOP < 6 mm Hg) on day 1, 6 cases with elevated IOP, and 3 cases with retinal detachment during follow-up. Conclusion: Though certain problems exist during and after surgeries using TSV, this system is both convenient and safe for various vitreoretinal procedures.

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Problems associated with the 25-gauge transconjunctival sutureless vitrectomy system during and after surgery

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