Learning curve of sutureless transconjunctival 20-gauge vitrectomy
Gilbert WS Simanjuntak,1,2 Arief S Kartasasmita,3,4 Ilias Georgalas,5 Eustratios V Gotzaridis6
1Department of Ophthalmology, Faculty of Medicine, Christian University of Indonesia, Jakarta, 2Cikini Eye Institute, Cikini CCI Hospital, Jakarta, 3Department of Ophthalmology, Padjadjaran University, Jawa Barat, 4Cicendo Eye Hospital, Bandung, Indonesia; 5Department of Ophthalmology, G Gennimatas General Hospital, University of Athens, 6Athens Retina Institute, Athens, Greece
Background: To report the learning curve of transition from 20-gauge (20 G) conventional vitrectomy to a 20 G sutureless vitrectomy technique.
Materials and methods: This is a retrospective descriptive case study of 32 eyes from
32 consecutive patients who underwent sutureless 20 G pars plana vitrectomy. A 20 G microvitreoretinal blade was introduced, beveled transconjunctivally, slowly, parallel with the limbus, creating a conjunctivoscleral tunnel incision. Study participants were divided into three groups, and surgical time, induced astigmatism, and complications were compared.
Results: Of 32 consecutive patients, there was no significant difference in induced astigmatism or maneuvering between the early learning curve and other groups. The true learning curve was the first three patients. There were three cases where suturing the sclerotomy was necessary: one port in each case, three of 32 cases (9.3%), or three of 96 ports (2.9%).
Conclusion: There were no significant difficulties in surgical maneuvers while performing 20 g sutureless vitrectomy.
Keywords: sutureless, vitrectomy, 20 G, learning curve
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]