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Postoperative retinal break after 25-gauge transconjunctival sutureless vitrectomy: report of four cases

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Abstract

Background

A 25-gauge transconjunctival sutureless vitrectomy (TSV) has been reported effective. However, complications such as postoperative retinal detachment have been reported. In this study, we report four cases of retinal breaks found after 25-gauge TSV. In this study, we investigated factors contributing to occurrence of postoperative complications.

Methods

Seventy-five patients (75 eyes) underwent 25-gauge TSV surgery at Kanazawa University hospital between April 2004 and September 2005. Postoperative follow-up monitoring was done for at least 3 months. The surgical charts were reviewed.

Results

Retinal breaks not accompanied by retinal detachment were noted postoperatively in four patients. All four of these patients had preoperative idiopathic macular holes. In all cases, there was no vitreous traction around the retinal break and photo coagulation was performed. One eye with age-related macular degeneration developed intraoperative rhegmatogenous retinal detachment. No other complications were observed during the intraoperative and postoperative periods.

Conclusion

Upon performing 25-gauge TSV for macular hole repair, care should be taken to detect retinal breaks and retinal detachment intraoperatively and postoperatively.

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References

  1. Banker AS, Freeman WR, Kim JW, Munguia D, Azen SP (1997) Vision-threatening complications of surgery for full-thickness macular holes. Vitrectomy for Macular Hole Study Group. Ophthalmology 104(9):1442–1452

    PubMed  CAS  Google Scholar 

  2. DeJuan E Jr, Hickingbotham D (1990) Refinements in microinstrumentation for vitreous surgery. Am J Ophthalmol 109(2):218–220

    PubMed  Google Scholar 

  3. Fujii GY, De Juan E Jr, Humayun MS et al (2002) A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery. Ophthalmology 109:1807–1812

    Article  PubMed  Google Scholar 

  4. Fujii GY, De Juan E Jr, Humayun MS et al (2002) Initial experience using the transconjunctival sutureless vitrectomy system for vitreoretinal surgery. Ophthalmology 109:1814–1820

    Article  PubMed  Google Scholar 

  5. Ibarra MS, Hermel M, Prenner JL et al (2005) Longer-term outcomes of transconjunctival sutureless 25-gauge vitrectomy. Am J Ophthalmol 139(5):831–836

    Article  PubMed  Google Scholar 

  6. Lakhanpal RR, Humayun MS, de Juan E Jr et al (2005) Outcomes of 140 consecutive cases of 25-gauge transconjunctival surgery for posterior segment disease. Ophthalmology 112(5):817–824

    Article  PubMed  Google Scholar 

  7. Park SS, Marcus DM, Duker JS et al (1995) Posterior segment complications after vitrectomy for macular hole. Ophthalmology 102(5):775–781

    PubMed  CAS  Google Scholar 

  8. Wendel RT, Patel AC, Kelly NE et al (1993) Vitreous surgery for macular holes. Ophthalmology 100(11):1671–1676

    PubMed  CAS  Google Scholar 

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Acknowledgements

The authors thank Dr Tomomi Higashide and Dr Norimasa Sakurada for analyzing data.

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Authors and Affiliations

  1. Department of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan

    Tetsuhiko Okuda, Akira Nishimura, Akira Kobayashi & Kazuhisa Sugiyama

Authors
  1. Tetsuhiko Okuda
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  2. Akira Nishimura
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  3. Akira Kobayashi
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  4. Kazuhisa Sugiyama
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Corresponding author

Correspondence to Akira Nishimura.

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Okuda, T., Nishimura, A., Kobayashi, A. et al. Postoperative retinal break after 25-gauge transconjunctival sutureless vitrectomy: report of four cases. Graefe's Arch Clin Exp Ophthalmol 245, 155–157 (2007). https://doi.org/10.1007/s00417-006-0354-y

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  • DOI: https://doi.org/10.1007/s00417-006-0354-y

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