223 Vitrectomie trans-conjonctivale 23-gauge sans suture : résultats visuels et complications

Introduction To evaluate the safety and efficacy of 23-gauge transconjunctival sutureless pars plana vitrectomy for a variety of vitreoretinal diseases. Objectifs and Methods A prospective consecutive case series study was performed in 61 eyes of 61 patients. Indications for surgery were as follows: epiretinal membrane (n=20), rhegmatogenous retinal detachment (n=19: 14 pseudophakic, 5 phakic), macular hole (n=11), 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 postoperative complications. Results Mean patient age at the time of operation was 68.3±12.23 years old. Overall, visual acuity improved from 1.0±1.0 preoperatively to 0.3±0.4 logMAR postoperatively (p Discussion 23 gauge transconjunctival sutureless vitrectomy is an effective surgical technique. This technique showed numerous advantages: self-sealing scleral incisions, minimal conjunctival surgical traumatism, decreased operative time, improved patient comfort, and rare complications. Conclusion 23 gauge transconjunctival sutureless vitrectomy is an effective and safe technique for a variety of vitreoretinal diseases.