Back to Journals » Clinical Ophthalmology » Volume 9

Investigation of postoperative intraocular pressure in cases of silicone oil removal using 25-gauge transconjunctival sutureless vitrectomy with oblique incisions

Authors Takashina H, Watanabe A, Tsuneoka H

Received 30 July 2015

Accepted for publication 3 September 2015

Published 15 October 2015 Volume 2015:9 Pages 1925—1928

DOI https://doi.org/10.2147/OPTH.S93376

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Gokcen Gökçe

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


Hirotsugu Takashina,1,2 Akira Watanabe,2 Hiroshi Tsuneoka2

1Department of Ophthalmology, National Hospital Organization Sagamihara Hospital, Sagamihara, Kanagawa, Japan; 2Department of Ophthalmology, Jikei University School of Medicine, Minato-ku, Tokyo, Japan

Background: The purpose of this study was to investigate postoperative intraocular pressure (IOP) in cases of silicone oil (SO) removal when using 25-gauge transconjunctival sutureless vitrectomy (TSV) with oblique incisions.
Methods: We enrolled ten consecutive eyes with SO removal (SO group) and eleven consecutive eyes with idiopathic epiretinal membrane (ERM) as the initial vitrectomy (ERM group) in cases using 25-gauge TSV with oblique incisions. Postoperative IOPs were compared between the two groups at each of the four examination periods.
Results: No significant differences were identified in any of the periods examined.
Conclusion: The use of 25-gauge TSV with oblique incisions resulted in almost equivalent postoperative IOPs between cases with SO removal and idiopathic ERM as the initial operation. Self-sealing sclerotomy in 25-gauge TSV with oblique incisions may primarily involve the valve architecture, and be complemented by vitreous incarceration.

Keywords: sclerotomy leakage, self-sealing, silicone oil tamponade, remnant vitreous, hypotony, idiopathic epiretinal membrane

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]