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¹S.B. Ankara Ulucanlar Göz EAH, Ankara, Uzm. Dr.
²S.B. Ankara Ulucanlar Göz EAH, Ankara, Doç. Dr.
³S.B. Ankara Ulucanlar Göz EAH, Ankara, Asist. Dr.
⁴S.B. Ankara Ulucanlar Göz EAH Klinik Şefi, Ankara, Uzm. Dr. Purpose: To determine the efficacy and safety of 23 G transconjunctival sutureless pars plana vitrectomy.
Materials and Methods: Forty eyes of 40 patients who underwent 23 G transconjunctival sutureless pars plana vitrectomy comprised the study group. Patients were examined preoperatively, and after 1 day, and 1, 3, and 6 months postoperatively. A complete ophthalmological examination, including visual acuity, applanation tonometry, biomicroscopic examination, and dilated fundus examination, was performed at all examinations. All patients were operated on using a standard 23 G vitrectomy technique via three-port tunnel sclerotomies.
Results: The mean age of patients was 55.6 ± 9.8 years (range, 22-73). None of the eyes developed endophthalmitis. Overall, the median preoperative visual acuity was finger counting at 2 m, and the median postoperative visual acuity after a mean follow-up of 6 months was 10/100. Six eyes developed hypotonia (15%) on postoperative day 1. Subconjunctival hemorrhage (25%) and wound leakage (12.5%) were the most common intraoperative complications; hypotonia (15%), cataract (10%), and conjunctival irritation (5%) were the other postoperative complications.
Conclusion: 23 G transconjunctival sutureless pars plana vitrectomy is an effective and safe technique for selected cases. It is advantageous due to its fast postoperative wound restoration. Keywords : 23 G, hypotonia, transconjunctival vitrectomy