Outcomes of 23- and 25-gauge transconjunctival sutureless vitrectomies for idiopathic macular holes.
OBJECTIVE
To assess the outcomes of 23-gauge sutureless transconjunctival vitrectomies (TSV), as compared with 25-gauge TSV in macular hole surgeries.


METHODS
A retrospective, consecutive, interventional case series of 47 eyes with idiopathic macular holes treated by 23- or 25-gauge TSV were analysed.


RESULTS
The operative time was 37.2 (SD 8.9) min with 23-gauge TSV and 34.2 (8.7) min with 25-gauge TSV (p = 0.388). The anatomical success rate was 96% with 23-gauge TSV and 92% with 25-gauge TSV (p>0.999). The logarithm of the minimum angle of resolution of best-corrected visual acuity (BCVA) at the sixth postoperative month was 0.19 (0.16) with 23-gauge TSV and 0.19 (0.25) with 25-gauge TSV (p = 0.521). Postoperative improvement in BCVA was comparable between the two TSVs. IOP on postoperative day 1 was lower with 25-gauge TSV (12.3 (4.9) mm Hg) than with 23-gauge TSV (17.4 (5.8) mm Hg) (p = 0.036). Complications included retinal break, intraoperative bleeding and slippage of the infusion cannula with 23-gauge TSV, while retinal detachment and postoperative hypotony occurred in the 25-gauge TSV group (p = 0.570).


CONCLUSIONS
23-gauge TSV appears to be as safe and effective as 25-gauge TSV in macular hole surgery.
Kusuhara
S
S
Department of Ophthalmology, Hyogo Prefectural Amagasaki Hospital, Amagasaki, Hyogo, Japan.
Ooto
S
S
Kimura
D
D
Itoi
K
K
Mukuno
H
H
Miyamoto
N
N
Akimoto
M
M
Kuriyama
S
S
Takagi
H
H
D003228:Conjunctiva / Q000601:surgery*; D005260:Female; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008297:Male; D008875:Middle Aged; D012167:Retinal Perforations / Q000601:surgery*; D012189:Retrospective Studies; D013525:Surgical Instruments; D013536:Suture Techniques; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D014823:Vitreous Hemorrhage / Q000601:surgery