Removal of Densiron-68 with a 23-gauge transconjunctival vitrectomy system.
OBJECTIVE
To report a new approach for removal of Densiron-68 via pars plana with a 23-gauge transconjunctival sutureless vitrectomy system (TSVS).


METHODS
Prospective, interventional case series. Ten eyes (4 phakic, 5 pseudophakic, 1 aphakic) of 10 patients underwent Densiron-68 (1480 mPa viscosity and 1.06 g/ml specific gravity) removal via pars plana with a suction pressure of 600-mmHg vacuum through a short 23-gauge silicon cannula.ResultsDensiron-68 was completely removed from all eyes. Retinal reattachment was achieved in all cases. The intraocular pressure was 20.9 (SD 3.5) mmHg at baseline, 12.2 (SD 4) mmHg at day 1 postoperatively, and 13.6 (SD 2.9), 15.4 (SD 2.5), and 16 (SD 1.8) mmHg after 1 week, 1 month, and 3 months, respectively. Five eyes needed suture of at least one sclerotomy. Postoperative hypotony (<or=8 mmHg) was seen in 2 out of 10 eyes (20%). No additional postoperative procedure was necessary.


CONCLUSIONS
Active removal of Densiron-68 with a 23-gauge short cannula is a simple, innovative, and safe technique that can help reduce surgical trauma.
Romano
M R
MR
St Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, UK. romanomario@email.it
Groenwald
C
C
Das
R
R
Stappler
T
T
Wong
D
D
Heimann
H
H
D000368:Aged; D003228:Conjunctiva / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods; D011446:Prospective Studies; D012167:Retinal Perforations / Q000601:surgery; D012590:Sclera / Q000601:surgery; D012827:Silicone Oils; D013396:Suction / Q000295:instrumentation / Q000379:methods; D013537:Sutures; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*
D012827:Silicone Oils; C539718:densiron-68