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Outcomes of 23- and 25-gauge transconjunctival sutureless vitrectomies for dislocated intraocular lenses

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Abstract

Purpose

To compare the outcome of 23-gauge as compared with 25-gauge transconjunctival sutureless vitrectomy (TSV) in the management of dislocated intraocular lenses (IOLs).

Design

Retrospective, non-consecutive, comparative, interventional case series.

Participants

Patients with dislocated intraocular lens who underwent sutureless PPV using either 23-gauge or 25-gauge instruments.

Methods

The patients who presented with a dislocated IOL, underwent TSV with repositioning of the intraocular lens, either in the sulcus or scleral-fixated sutured/glued.

Results

Of the total 61 eyes, 33 (54.09%) underwent 23-gauge TSV and 28 (45.90%) underwent 25-gauge TSV. The mean logMAR BCVA at baseline and 6 months after surgery was 0.8 and 0.46 in the 23-gauge group, and 0.82 and 0.47 in the 25-gauge group. There was no significant difference in logMAR BCVA values between the two groups at any time point of time during the follow-up. The mean postoperative IOP on postoperative day 1 was 14.76 ± 5.4 in 23-gauge group and 17.57 ± 7.9 in the 25-gauge group (p = 0.10). Retinal break was noticed intraoperatively in two cases in 23-gauge group and in three cases in 25-gauge group (p = 0.509). Postoperative complications included IOL decentration in one case of 23-gauge vitrectomy and two cases in 25-gauge group (p = 0.5), cystoid macular edema in four patients in 23-gauge group and six cases of 25-gauge group (p = 0.3) and retinal detachment in one case in each group (p = 0.9).

Conclusions

25-gauge appears to be as safe and as effective as 23-gauge TSV in the management of dislocated intraocular lenses.

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Abbreviations

TSV:

Transconjunctival sutureless vitrectomy

IOL:

Intraocular lens

BCVA:

Best-corrected visual acuity

logMAR:

Logarithm of minimum angle of resolution

IOP:

Intraocular pressure

CME:

Cystoid macular edema

PPV:

Pars plana vitrectomy

GAT:

Goldmann applanation tonometry

PMMA:

Polymethyl methacrylate

TSFIOL:

Transscleral fixation of intraocular lenses

RD:

Retinal detachment

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Authors and Affiliations

  1. Advanced Eye Centre, Post-graduate Institute for Medical Education and Research, Sector 12, Chandigarh, 160012, India

    Priya Bajgai, Basavraj Tigari & Ramandeep Singh

Authors
  1. Priya Bajgai
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  2. Basavraj Tigari
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  3. Ramandeep Singh
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Correspondence to Ramandeep Singh.

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All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Bajgai, P., Tigari, B. & Singh, R. Outcomes of 23- and 25-gauge transconjunctival sutureless vitrectomies for dislocated intraocular lenses. Int Ophthalmol 38, 2295–2301 (2018). https://doi.org/10.1007/s10792-017-0721-1

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