The Safety and Efficacy of Passive Removal of Silicone Oil With 23-Gauge Transconjunctival Sutureless System

Patwardhan, Sourabh; Azad, Rajvardhan; Shah, Vinit; Sharma, Yograj

doi:10.1097/iae.0b013e3181dde612

Cited by 14 publications

(12 citation statements)

References 13 publications

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“…There have only been a few reports in the literature describing sutureless removal of silicone oil. 11,28,29 To the best of our knowledge, this is the first study to compare the safety and efficacy of silicone oil removal using the 25-gauge vitrectomy system with the 20-gauge vitrectomy system. Our study showed that the removal of silicone oil through the 25-gauge cannula is safe and effective.…”

Section: Discussionmentioning

confidence: 98%

Twenty-Five-Gauge Vitrectomy for the Removal of 5000 Centistokes Silicone Oil

Jusufbegovic

Gambrell

Barak

et al. 2013

Retina

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Section: Discussionmentioning

confidence: 98%

Twenty-Five-Gauge Vitrectomy for the Removal of 5000 Centistokes Silicone Oil

Jusufbegovic

Gambrell

Barak

et al. 2013

Retina

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“…The main benefits of small incisions are that they generally do not require suturing, they prevent adhesions from repeated operations, and they provide a short operating time, minimal trauma, less irritation, comfortable surgery and speedy recovery. 9 , 10 , 11 , 12 …”

Section: Discussionmentioning

confidence: 99%

“…SOR can be performed with 20-gauge (G), 23-G or 25-G extraction cannulae. 9 , 10 , 11 In recent years, smaller gauge sclerotomies have become a preferred technique in SOR. 9 , 10 , 11 The main advantages of small-gauge sclerotomies are their self-sealing properties, early incision healing, low ocular surface irritation and more cosmetically satisfying results.…”

Section: Introductionmentioning

confidence: 99%

“… 9 , 10 , 11 In recent years, smaller gauge sclerotomies have become a preferred technique in SOR. 9 , 10 , 11 The main advantages of small-gauge sclerotomies are their self-sealing properties, early incision healing, low ocular surface irritation and more cosmetically satisfying results. 10 , 11 , 12 The major benefit of using 23-G instruments versus 25-G instruments during surgical procedures is that they are more powerful and self-sealing (valve system).…”

Section: Introductionmentioning

confidence: 99%

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Active Silicone Oil Removal with a Transconjunctival Sutureless System: Is the 23-Gauge System Safe and Effective?

Kaya¹,

Özyurt²,

Öztürk³

et al. 2016

tjo

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Objectives:To evaluate the safety and efficacy of active silicone oil removal with a 23-gauge (G) transconjunctival sutureless system.Materials and Methods:One hundred sixteen eyes of 113 patients who had previous retinal detachment surgery with pars plana vitrectomy and silicone oil injection surgery, and underwent silicone oil removal surgery with 23-G transconjonctival sutureless technique in our clinic between January 2009 and April 2014 were reviewed retrospectively. The patients were evaluated with regard to postoperative changes in best corrected visual acuity and intraocular pressure (IOP), and complications that occurred during and after surgery.Results:Of the 113 patients with mean age of 61.1±9.7 years (29-88 years), 62 (54.8%) were males and 51 (45.2%) were females. Silicone oil removal was performed 8.43±5.24 months after the initial surgery. Mean follow-up was 13.38±4.35 months. Visual acuity improved in 69 eyes (59.48%). Anatomic success was achieved in 113 eyes (97.41%). Mean IOP was 16.2±7.2 mmHg at baseline and 14.4±2.6 mmHg at postoperative day 1 (p=0.643). Eight eyes needed suturation of at least one sclerotomy. Retinal redetachment occurred in 3 eyes (2.5%) resulting in a decrease in vision. There were no cases of choroidal detachment, endophthalmitis, clinically significant corneal endothelial decompensation, or macular edema.Conclusion:Active removal of 1,300-centistoke silicone oil with a 23-G transconjunctival sutureless system is a simple, sutureless technique causing minor surgical trauma. Active removal of silicone oil with the 23-G transconjunctival sutureless technique was found to be effective and safe in both phakic and pseudophakic eyes.

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“…Eyes that had 23-G port creation had significantly less ocular surface inflammation compared to the 20-G group. [72]…”

Section: Introductionmentioning

confidence: 99%

Small gauge vitrectomy: Recent update

Khanduja¹,

Kakkar²,

Majumdar³

et al. 2013

Oman J Ophthalmol

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Small gauge vitrectomy, also known as minimally invasive vitreous surgery (MIVS), is a classic example of progress in biomedical engineering. Disparity in conjunctival and scleral wound location and reduction in wound diameter are its core principles. Fluidic changes include increased pressure head loss with consequent reduction in infusional flow rate and use of higher aspiration vacuum at the cutter port. Increase An increase in port open/port closed time maintains an adequate rate of vitreous removal. High Intensity Discharge (HID) lamps maintain adequate illumination in spite of a decrease in the number of fiberoptic fibers. The advantages of MIVS are, a shorter surgical time, minimal conjunctival damage, and early postoperative recovery. Most complications are centered on wound stability and risk of postoperative hypotony, endophthalmitis, and port site retinal break formation. MIVS is suited in most cases, however, it can cause dehiscence of recent cataract wounds. Retraction of the infusion cannula in the suprachoroidal space may occur in eyes with scleral thinning. As a lot has been published and discussed about sutureless vitrectomy a review of this subject is necessary. A PubMed search was performed in December 2011 with terms small gauge vitrectomy, 23-gauge vitrectomy, 25-gauge vitrectomy, and 27 gauge vitrectomy, which were revised in August 2012. There were no restrictions on the date of publication but it was restricted to articles in English or other languages, if there abstracts were available in English.

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The Safety and Efficacy of Passive Removal of Silicone Oil With 23-Gauge Transconjunctival Sutureless System

Cited by 14 publications

References 13 publications

Twenty-Five-Gauge Vitrectomy for the Removal of 5000 Centistokes Silicone Oil

Twenty-Five-Gauge Vitrectomy for the Removal of 5000 Centistokes Silicone Oil

Active Silicone Oil Removal with a Transconjunctival Sutureless System: Is the 23-Gauge System Safe and Effective?

Small gauge vitrectomy: Recent update

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