Primary 23-gauge transconjunctival sutureless vitrectomy for rhegmatogenous retinal detachment.
OBJECTIVE
To describe the results of primary 23-gauge transconjunctival sutureless vitrectomy for rhegmatogenous retinal detachment (RRD).


METHODS
In a prospective case series, 24 eyes of 24 consecutive patients with RRD underwent primary 23-gauge transconjunctival pars plana vitrectomy with intraocular gas tamponade. Postoperative follow-up ranged from 6 months to 16 months.


RESULTS
Fifteen eyes (62.5%) had multiple breaks. Seven eyes (29.2%) had inferior breaks. Other complications included giant tear in one eye, peripheral choroidal detachment in one eye, and concomitant macular holes in two eyes. The primary anatomical success rate was 91.7%. The mean postoperative visual acuity at postoperative month 3 improved from 20/41 to 20/25 (P = 0.111) and from 20/735 to 20/56 (P < 0.0001) in macula-on and macula-off cases, respectively. One patient (4.2%) had hypotony on postoperative day 1. No patients developed choroidal detachments. No sutures were used in any of the sclerotomy sites. Of the patients, 87.5% reported no or mild foreign body sensation, whereas 79.1% reported no or mild pain on the first postoperative day.


CONCLUSIONS
Twenty-three-gauge transconjunctival sutureless vitrectomy appears to be a feasible option in treating RRD in selected cases, with the potential benefit of reducing postoperative ocular irritation.
Tsang
Chi-Wai
CW
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, Hong Kong. tsang_cw127@yahoo.com.hk
Cheung
Benson Tze-On
BT
Lam
Robert Fung
RF
Lee
Gary Ka-Yau
GK
Yuen
Can Yin-Fun
CY
Lai
Timothy Yuk-Yau
TY
Lam
Dennis Shun-Chiu
DS
D000328:Adult; D000368:Aged; D015862:Choroid Diseases / Q000150:complications; D003228:Conjunctiva / Q000601:surgery*; D005129:Eye Foreign Bodies / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015814:Ocular Hypotension / Q000209:etiology; D010149:Postoperative Pain / Q000209:etiology; D011184:Postoperative Period; D011446:Prospective Studies; D012163:Retinal Detachment / Q000150:complications / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications / Q000601:surgery*; D012677:Sensation; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects / Q000379:methods*