Oblique sclerotomy technique for prevention of incompetent wound closure in transconjunctival 25-gauge vitrectomy.
OBJECTIVE
To develop a surgical incisional technique that helps overcome incompetent sclerotomy closure previously reported in sutureless 25-gauge vitrectomy.


METHODS
Prospective interventional case series report.


METHODS
We performed this surgical technique in 12 eyes of 12 consecutive patients scheduled for 25-gauge vitrectomy. The sclerotomy was created performing an oblique incision, a structural modification that helps the closure stay watertight once the cannulas are removed.


RESULTS
This technical variation resulted in no intraoperative leakage after cannula removal in any of the 36 sclerotomies performed.


CONCLUSIONS
Incision construction using this technique may resolve the reported sclerotomy leakage that in some cases had to be solved by suturing.
López-Guajardo
Lorenzo
L
Ophthalmology Department, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain. llguajardo@icam.es
Pareja-Esteban
Jesús
J
Teus-Guezala
Miguel Angel
MA
D003228:Conjunctiva / Q000601:surgery*; D006801:Humans; D011446:Prospective Studies; D012164:Retinal Diseases / Q000601:surgery; D012599:Sclerostomy / Q000379:methods*; D014821:Vitrectomy / Q000379:methods*; D014945:Wound Healing