OBJECTIVE To assess the visual outcome and complications of 25-gauge micro incision vitrectomy surgery (MIVS) in diabetic vitreous haemorrhage. METHODS This Quasi Experimental study was conducted at LRBT, Tertiary eye care hospital Karachi, from February 2012 to January 2013. Sixty eyes of sixty patients with uncontrolled type II diabetes mellitus (DM) were included. There were 43 (71.7%) mal...

PURPOSE Traditionally acceptable methods of anesthesia for vitrectomy surgery are quite varied. However, each of these methods has its own potential for complications that can range from minor to severe. The surgery procedure of vitrectomy for symptomatic vitreous floaters is much simpler, mainly reflecting in the nonuse of sclera indentation, photocoagulation, and the apparently short surgery ...

PURPOSE To evaluate the efficacy and safety of a pars plana Ahmed valve implantation combined with 23-gauge sutureless vitrectomy in the treatment of patients with medically uncontrolled neovascular glaucoma (NVG) in proliferative diabetic retinopathy (PDR). METHODS The authors retrospectively reviewed the records of 11 consecutive patients with refractory NVG in PDR who underwent a 23-gauge ...

Pars plana vitrectomy (PPV) was introduced almost 40 years ago. 1 In the 1980s and 1990s, three-port PPV with 20-gauge (G) instruments was the norm. In 2002, 25-gauge transconjunctival sutureless vitrectomy (TSV) was introduced.2,3 This system permits threeport PPV using microcannulas, trocars, and 25-G instrumentation without requiring sutures to close the sclerotomies. Subsequently, a similar...

BACKGROUND Characteristic complications have been reported for transconjunctival sutureless vitrectomy, such as postoperative sclerotomy leakage and postoperative hypotony. Particular attention to sclerotomy closure is required in cases of silicone oil tamponade, because postoperative supplementation of silicone oil implies reoperation, whereas postoperative supplement of gas is comparatively e...

PURPOSE To compare the incidence of wound sealing-related complications of 25-gauge transconjunctival sutureless vitrectomy (25-G TSV) for proliferative diabetic retinopathy (PDR) versus non-diabetic simple macular pathology (SMP). METHODS A retrospective comparative study was conducted on 377 eyes that underwent 25-G TSV for PDR (n=189 eyes) or non-diabetic SMP (n=188 eyes). Both groups were...

AIM To evaluate the usefulness of the newly designed 25-gauge (25-G) microcannula for transconjunctival sutureless vitrectomy (TSV). METHODS 25-G TSV was performed on 20 consecutive eyes with the newly designed 25-G microcannulas. We studied usefulness, intraoperative and postoperative complications in these cases. RESULTS No complications were recognized during surgery. Postoperative compl...

BACKGROUND Transscleral tunnel incisions are commonly made to avoid postoperative leakage in small gauge sutureless vitrectomy. We present an unreported intraoperative complication, tunnel incision related arterial hemorrhage from sclerotomy, in 23-gauge (23G) vitrectomy. CASE PRESENTATION Two cases of intraocular arterial hemorrhage from superonasal sclerotomy were observed at the beginning ...

PURPOSE We conducted an in vivo study using Dutch pigmented rabbit eyes to test the usefulness of polyethylene glycol (PEG) sealant for the closure of sutureless sclerotomies in microincisional vitrectomy surgery (MIVS). METHODS Three-port, 23-gauge vitrectomy was performed on rabbit eyes. After air leakage was confirmed by the application of 0.625% povidone-iodine at the sclerotomy site, PEG...