PURPOSE To report a case of endophthalmitis following 25-gauge transconjunctival sutureless vitrectomy. DESIGN Observational case report. METHODS An 87-year-old male who underwent sutureless 25-gauge vitrectomy developed unilateral endophthalmitis. Vitreous culture revealed Staphylococcus coagulase-negative bacteria. He was subsequently treated with intravitreal antibiotics and oral prednis...

This review presents the evolution of sutureless vitrectomy and describes the minimisation of surgical techniques in the posterior segment, as well as their advantages and disadvantages. Shorter operating time, improvement of patient comfort and faster visual recovery are feasible when using small-diameter sutureless vitrectomy technique and equipment. However, a number of associated problems, ...

Pars plana vitrectomy is one of the most common surgical procedures performed for the treatment of various vitreo-retinal diseases such as retinal detachment, vitreous haemorrhage, proliferative diabetic retinopathy, epiretinal membrane and macular hole. Traditionally, most vitrectomy surgical systems utilise the 20-gauge instruments pars plana vitrectomy includes multiple incisions including p...

BACKGROUND To report the learning curve of transition from 20-gauge (20 G) conventional vitrectomy to a 20 G sutureless vitrectomy technique. MATERIALS AND METHODS This is a retrospective descriptive case study of 32 eyes from 32 consecutive patients who underwent sutureless 20 G pars plana vitrectomy. A 20 G microvitreoretinal blade was introduced, beveled transconjunctivally, slowly, parall...

BACKGROUND The purpose of this study was to investigate factors influencing self-sealing of sclerotomy performed under gas tamponade in 23-gauge transconjunctival sutureless vitrectomy. METHODS This study was a retrospective review of 84 patients (84 eyes) who underwent 23-gauge transconjunctival sutureless vitrectomy under gas tamponade by a single surgeon. At the end of surgery, the sclerot...

BACKGROUND/AIMS The benefits associated with transconjunctival sutureless vitrectomy techniques are continuing to be defined. The purpose of this study was to compare the incidence of extreme changes in day 1 intraocular pressure (IOP) following 23-gauge sutureless vitrectomy compared with conventional 20-gauge vitrectomy. METHODS Fifty consecutive 23-gauge and 50 consecutive 20-gauge cases w...

PURPOSE To describe the results of a pars plana vitrectomy, combined with phacoemulsification, using a sutureless, superotemporal, clear corneal incision for patients with a macular hole. METHODS This study reviewed the records of 22 patients (22 eyes) who underwent a phacoemulsification with the insertion of an acrylic intraocular lens, using a 3.2 mm superotemporal clear corneal incision an...

We report five cases of unexplained retinal hemorrhage after 23-gauge sutureless vitrectomy. A 23-gauge sutureless vitrectomy was performed for four cases of macular holes (MH) and one case of macular hole retinal detachment (MHRD). Retinal hemorrhages were observed on the first day after surgery and disappeared within several months without leaving any recognizable damage. We speculate that th...

Sutureless 23G vitreorrhexis could be used as a surgical tool for anterior capsulorrhexis (ACCC), irrigation, aspiration and posterior capsulorrhexis (PCCC) in pediatric cataract. Patients and methods: A prospective consecutive randomized clinical trial of 48 patients less than two years old underwent bilateral pediatric cataract surgeries. These patients were divided into two equal groups. Gro...