Modified sutureless sclerotomies for pars plana vitrectomy.
OBJECTIVE
To describe a modified technique for performing sutureless sclerotomies for pars plana vitrectomy and to examine its efficacy and safety.


METHODS
Retrospective, interventional case series.


METHODS
Self-sealing sclerotomies were created in 35 consecutive cases by oblique penetration of the sclera with a 19G MVR blade.


RESULTS
All but two (2.9%) of the sclerotomies were watertight without suturing at the end of surgery. A conjunctival bleb was observed during the first postoperative week in one case, but it resolved without intervention.


CONCLUSIONS
Construction of sutureless sclerotomies by this technique is simpler and more rapid compared with previously described techniques. The resulting sclerotomies are more resistant to stretching and tearing of the tunnel's roof, they rarely need suturing, and insertion of instruments is facilitated.
Yeshurun
Itamar
I
Edith Wolfson Medical Center and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel. itamary@post.tau.ac.il
Rock
Tali
T
Bartov
Elisha
E
D006801:Humans; D007431:Intraoperative Complications; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D012599:Sclerostomy / Q000379:methods*; D013536:Suture Techniques; D014821:Vitrectomy / Q000379:methods*