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Related Experiment Video

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No-patch 23-gauge vitrectomy under topical anesthesia: a pilot study.

Satyen Deka1, Harsha Bhattacharjee, M J Barman

  • 1Department of Vitreoretina Services, Sri Sankaradeva Nethralaya, Beltola, Guwahati-781 028, India. drsatyen@hotmail.com

Indian Journal of Ophthalmology
|February 26, 2011
PubMed
Summary

This pilot study found that 23-gauge vitrectomy under topical anesthesia is safe and effective for specific eye conditions. Most patients experienced minimal pain during the sutureless procedure, indicating good tolerability.

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Area of Science:

  • Ophthalmology
  • Surgical Innovation

Background:

  • Minimally invasive ophthalmic surgery is advancing.
  • Topical anesthesia offers potential benefits for patient comfort and reduced operating time.

Purpose of the Study:

  • To evaluate the safety and efficacy of 23-gauge vitrectomy using topical anesthesia.
  • To assess patient pain and discomfort during the procedure.

Main Methods:

  • A pilot study involving five patients undergoing 23-gauge sutureless vitrectomy.
  • Topical anesthesia with 0.5% proparacaine hydrochloride was used.
  • Pain was assessed using a visual analogue scale (0-4).

Main Results:

  • Four out of five patients reported Grade 0 pain; one reported Grade 1 pain.
  • Favorable surgical outcomes were observed in all cases.
  • No postoperative eye patch was required.

Conclusions:

  • 23-gauge vitrectomy under topical anesthesia appears safe and effective for selected ophthalmic conditions.
  • The procedure is well-tolerated by patients, with minimal reported pain.
  • Further research is recommended to confirm these findings in a larger cohort.