title: 23-gauge transconjunctival sutureless vitrectomy: visual outcomes and complications.
abstract: OBJECTIVE
  To report results and complications of 23-gauge transconjunctival sutureless pars plana vitrectomy for a variety of vitreoretinal diseases.
  
  
  METHODS
  A prospective consecutive case series study was performed in 66 eyes of 66 patients. Indications for surgery were epiretinal membrane (n = 20), rhegmatogenous retinal detachment (n = 19: 14 pseudophakic, 5 phakic), macular hole (n = 16), vitreous hemorrhage (n = 5), cyclodialysis (n = 1), intraocular lens luxation (n = 1), asteroid hyalosis (n = 1), congenital retinoschisis (n = 1), and endophtalmitis (n = 2). Main outcome measures included visual acuity, intraocular pressure, and intra- and post-operative complications.
  
  
  RESULTS
  Mean patient age at time of operation was 68 ± 12 years. Overall, visual acuity improved from 1.03 ± 1.00 logMAR preoperatively to 0.32 ± 0.33 logMAR postoperatively (p < 0.01) after a mean follow-up time of 9.3 ± 4.7 months. Mean preoperative intraocular pressure was 13.9 ± 3.5 mmHg, and mean postoperative intraocular pressure was 17.9 ± 9.6 mmHg on day 1 (p < 0.01) and 14.7 ± 2.8 mmHg (p = 0.05) at final visit. Concerning complications, 2 cases of hypotony and 7 of hypertony occurred on day 1, a macular hole reopened some weeks later, and a retinal detachment recurred in one case.
  
  
  CONCLUSIONS
  23-gauge transconjunctival sutureless vitrectomy is an effective and safe technique for a variety of vitreoretinal diseases.
authors.affiliation: Ophthalmology Clinic, Department of Clinical Neurosciences, Geneva University Hospital, Geneva, Switzerland.
authors.forename: Aránzazu
authors.initials: A
authors.lastname: Mateo-Montoya
authors.forename: Efstratios
authors.initials: E
authors.lastname: Mendrinos
authors.forename: Cyrus
authors.initials: C
authors.lastname: Tabatabay
authors.forename: Constantin J
authors.initials: CJ
authors.lastname: Pournaras
mesh_terms: D000368:Aged; D003228:Conjunctiva / Q000601:surgery; D005128:Eye Diseases / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D012164:Retinal Diseases / Q000503:physiopathology / Q000601:surgery*; D013536:Suture Techniques; D014792:Visual Acuity / Q000502:physiology*; D014821:Vitrectomy / Q000379:methods*; D014822:Vitreous Body / Q000503:physiopathology / Q000601:surgery*