Learning curve of sutureless transconjunctival 20-gauge vitrectomy

Gilbert WS Simanjuntak,^1,2 Arief S Kartasasmita,^3,4 Ilias Georgalas,⁵ Eustratios V Gotzaridis<sup>6

1</sup>Department 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