25-Gauge transconjunctival sutureless pars plana vitrectomy.

Area of Science:

• Ophthalmology
• Retina Surgery
• Minimally Invasive Procedures

Background:

• Pars plana vitrectomy (PPV) is a common surgical procedure for vitreoretinal diseases.
• Traditional PPV often requires conjunctival and scleral suturing.
• Sutureless techniques aim to reduce surgical trauma and improve patient outcomes.

Purpose of the Study:

• To evaluate the effectiveness, feasibility, and safety of the transconjunctival sutureless vitrectomy (TSV) system.
• To assess the outcomes of TSV in a diverse range of vitreoretinal conditions.
• To compare the safety and efficacy of TSV with conventional methods.

Main Methods:

• Retrospective study of 71 eyes from 63 patients undergoing 25-gauge TSV.
• Indications included diabetic vitreous hemorrhage, macular edema, epiretinal membrane, endophthalmitis, Behcet's disease, retinal vein occlusion, and AMD.
• Procedures like membrane peeling and laser photocoagulation were performed as needed.

Main Results:

• Significant visual acuity improvement observed across multiple conditions (p=0.000).
• All surgeries were completed without conjunctival or scleral suturing.
• Transient intraocular pressure fluctuations occurred but were manageable and did not impact visual outcomes.

Conclusions:

• The transconjunctival sutureless vitrectomy (TSV) system is feasible, effective, and safe for various vitreoretinal diseases.
• This sutureless technique potentially reduces convalescence, operating time, and postoperative inflammation.
• TSV offers improved patient comfort and outcomes in vitreoretinal surgery.