Abstract: | Purpose: To report results and complications of 23-gauge transconjunctival sutureless pars plana vitrectomy for a variety of vitreoretinal diseases.Methods: A prospective consecutive case series study was performed in 66 eyes of 66 patients. Indications for surgery were epiretinal membrane (n?=?20), rhegmatogenous retinal detachment (n?=?19: 14 pseudophakic, 5 phakic), macular hole (n?=?16), 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 post-operative complications.Results: Mean patient age at time of operation was 68?±?12 years. Overall, visual acuity improved from 1.03?±?1.00 logMAR preoperatively to 0.32?±?0.33 logMAR postoperatively (p?0.01) after a mean follow-up time of 9.3?±?4.7 months. Mean preoperative intraocular pressure was 13.9?±?3.5 mmHg, and mean postoperative intraocular pressure was 17.9?±?9.6 mmHg on day 1 (p?0.01) and 14.7?±?2.8 mmHg (p?=?0.05) at final visit. Concerning complications, 2 cases of hypotony and 7 of hypertony occurred on day 1, a macular hole reopened some weeks later, and a retinal detachment recurred in one case.Conclusion: 23-gauge transconjunctival sutureless vitrectomy is an effective and safe technique for a variety of vitreoretinal diseases. |