clinical effect of 23g transconjunctival sutureless vitrectomy for idiopathic macular hole

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2014
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Abstract
AIM: To observe the clinical effects of 23-gauge(23G)transconjunctival sutureless vitrectomy for idiopathic macular hole.

METHODS: In this retrospective study, 28 eyes of 28 consecutive patients who underwent 23-gauge transconjunctival sutureless vitrectomy for idiopathic macular hole between January 2013 and October 2013 in our hospital were evaluated. The follow-up time was 3-12mo. The operation effects were analyzed.

RESULTS: The macular hole was closed in 27 eyes of 28 eyes which underwent 23G transconjunctival sutureless vitrectomy and not closed in 1 eye after surgery. Best-corrected visual acuity at postoperative 1, 3mo was significantly improved compared to pre-operation(χ2=8.65, P=0.003; χ2=10.33, P=0.001). The macular hole was closed as shown by OCT. Intraoperative incision was sutured in 5 cases(18%). There was no statistically significant difference in intraocular pressure between pre-operation and post-operation. No post-operative complications such as endophthalmitis, retinal detachment, vitreous hemorrhage came up.

CONCLUSION: 23G transconjunctival sutureless vitrectomy is observed to be safe and effective technique in the treatment of macular hole. It is therefore our preferred system for straightforward macular surgery.

Reference Key
cao2014guojiclinical Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Wei Cao;Mei-Ping Zhang;Hong-Ping Cui
Journal journal of fungi
Year 2014
DOI
10.3980/j.issn.1672-5123.2014.06.28
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