Intrascleral hydration for 23-Gauge Pars Plana Vitrectomy Sclerotomy Closure.

Retina (Philadelphia, Pa.) Pub Date : 2022-12-01 Epub Date: 2020-01-10 DOI:10.1097/IAE.0000000000002703

Stanislao Rizzo, Bianca Pacini, Lorenzo De Angelis, Francesco Barca, Alfonso Savastano, Fabrizio Giansanti, Tomaso Caporossi

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引用次数: 5

Abstract

Purpose: To describe and evaluate the effectiveness of a new technique to close 23-gauge sclerotomies in transconjunctival pars plana vitrectomy.

Materials and methods: A prospective, consecutive, interventional study of 90 eyes of 90 patients who underwent 23-gauge pars plana vitrectomy with the introduction of the new sealing technique was conducted. The 23-gauge sclerotomies were hydrated with a 30-gauge needle inserted in the scleral stroma near the scleral opening.

Results: A total of 90 eyes of 90 patients were recruited in the study. The number of the eyes requiring suture for sclerotomy closure was 3.3% (3 of 90), and the sclerotomies requiring suture were 1.4% (4 of 270). Three eyes had hypotony on Day 1. No statistically significant difference was registered between preoperative intraocular pressure and postoperative intraocular pressure on Days 15 and 30. No leaking of endotamponade bubble filling was noticed on Day 1. No postoperative complications were registered during the follow-up period.

Conclusion: The intrascleral stroma hydration is a simple and fast technique that does not require extra surgical materials.

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巩膜内水合治疗23号玻璃体切除术。

目的:描述并评价经结膜睫状体部玻璃体切除术中闭合23号巩膜的新技术的有效性。材料与方法:前瞻性、连续性、介入性研究，对90例采用新密封技术的23号玻璃体切割患者90只眼进行。用30号针插入靠近巩膜开口的巩膜间质，对23号巩膜切开术进行水化处理。结果:90例患者共90只眼被纳入研究。需要缝合的巩膜闭合眼数为3.3%(90 / 3)，需要缝合的巩膜闭合眼数为1.4%(270 / 4)。第1天有3只眼低视。术前眼压与术后第15、30天眼压比较差异无统计学意义。第1天未见填充物渗漏。随访期间无术后并发症发生。结论:筋膜内间质水化术是一种简便、快速的手术方法，不需要额外的手术材料。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Retina (Philadelphia, Pa.)

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