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
Checked for plagiarism Yes
Review by Single anonymous peer review
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
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