S Alhana Begum*¹, M Nivean², Sangeetha Sekaran³, Pratheeba Devi Nivean⁴and Sridhar Baratan⁵

¹Department of Ophthalmology, MN Eye Hospital, Chennai, India
²Vitreo Retinal Surgeon, MN Eye Hospital, Chennai, India
³Medical Retina Consultant, MN Eye Hospital, Chennai, India
⁴Oculoplasty Surgeon, MN Eye Hospital, Chennai, India
⁵Consultant Ophthalmologist, Apollo Spectra Hospital, Chennai, India

*Corresponding Author: S Alhana Begum, Department of Ophthalmology, MN Eye Hospital, Chennai, India.

Received: December 31, 2022; Published: January 09, 2023

Abstract

Since the introduction of pars plana vitrectomy (PPV) in 1971, the most revolutionary development in vitreoretinal surgery in the past few years has been transconjunctival sutureless vitrectomy (TSV). The large number of potential advantages of TSV include reduced surgical trauma, shorter operating time, lesser conjunctival scarring, decreased postoperative inflammation, faster postoperative healing, early visual recovery, improved patient comfort, and reduced postoperative astigmatism when compared to traditional vitrectomy. Fujii., et al. introduced 25-gauge vitrectomy in 2002. It had some inherent problems with the instrument flexibility, lower flow rate, and high incidence of complications. Later, modifications in 25-gauge TSV led to improvement in wound integrity and sterility, potentially decreasing the likelihood of these complications. Eckardt introduced 23-gauge TSV in 2005. It offered improved flow rates and stiffer instrumentation with fewer complications and resolved most of the problems with the 25-gauge system. During the past years, 23-Gauge vitrectomy has evolved as a very popular operating technique in a relatively short period of time. The main reasons for its success are the easier transconjunctival pars plana access with less conjunctival scarring, shorter surgical time, decreased postoperative inflammation, and increased patient's comfort. The technique resulted as an effective approach for selected diseases of the posterior segment without significant complications. The aim of our study is to report a prospective consecutive interventional study on the safety and efficacy of 23-Gauge transconjunctival sutureless pars plana vitrectomy for a variety of vitreoretinal conditions. The main endpoint of our study was the anatomical success with retinal reattachment. We also analyzed the functional outcome and complications with particular attention to visual acuity, to changes of the intraocular pressure (IOP) and to the depth and inflammatory reaction of the anterior chamber.

Keywords: Transconjunvtival; Pars Plana; Vitrectomy; Vitreoretinal; Intraocular Pressure; Inflammation

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Citation

Citation: S Alhana Begum., et al. “A Prospective Interventional Study on Surgical and Visual Outcomes After 23 Gauge Vitrectomy in a Tertiary Eye Care Centre in South India".Acta Scientific Ophthalmology 6.2 (2023): 06-16.

Copyright

Copyright: © 2022 S Alhana Begum., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.