ISSN: 2459 - 1777 | E-ISSN 2587-0394
Volume : 6 Issue : 3 Year : 2021

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Outcomes of 23-Gauge Transconjunctival Sutureless Vitrectomy in Patients with Diabetic Retinopathy [Beyoglu Eye J]
Beyoglu Eye J. 2021; 6(3): 243-248 | DOI: 10.14744/bej.2021.38278

Outcomes of 23-Gauge Transconjunctival Sutureless Vitrectomy in Patients with Diabetic Retinopathy

Isil Pasaoglu1, Mehmet Cakir2
1University of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey
2Turkiye Hospital, Istanbul, Turkey

INTRODUCTION: This study evaluated the anatomical and functional results of 23-G transconjunctival sutureless vitrectomy (TSV) in diabetic retinopathy (DR) patients with a variety of vitreoretinal diseases.
METHODS: Consecutive patients who underwent 23-G TSV for complications of DR were evaluated retrospectively. The primary outcome measures were best-corrected visual acuity (BCVA), intraocular pressure (IOP), and intraoperative and postoperative complications.
RESULTS: A total of 42 eyes of 41 patients were included and followed up for a mean of 15.64±10.0 months. The mean patient age was 59.33±7.4 years. Indications for surgery were nonclearing vitreous hemorrhage (VH) (n=10), tractional retinal detachment (TRD) (n=8), TRD+VH (n=12), epiretinal membrane (n=5), diabetic macular edema (n=3), submacular hemorrhage (n=2), macular hole (n=1), or vitreomacular traction (n=1). There was a significant improvement in the BCVA at the postoperative first and third months, and at the last visit compared with the preoperative value (p<0.001). There was no significant change in the mean IOP measured on the postoperative first day, first week, first month, third month, or the last visit (p>0.05). In the postoperative period, the VH resolved spontaneously in 9 eyes. Repeat 23 G vitrectomy was performed in 6 eyes: 4 with recurrent retinal detachment and 2 with VH.
DISCUSSION AND CONCLUSION: The results indicate that 23-G TSV is an effective technique for vitreoretinal disease in patients with DR.

Keywords: 23-gauge pars plana vitrectomy, diabetic retinopathy, sutureless vitrectomy

Isil Pasaoglu, Mehmet Cakir. Outcomes of 23-Gauge Transconjunctival Sutureless Vitrectomy in Patients with Diabetic Retinopathy. Beyoglu Eye J. 2021; 6(3): 243-248

Corresponding Author: Isil Pasaoglu, Türkiye
Manuscript Language: English
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