23 Gauge Transkonjonktival Dikişsiz Vitrektomide İlk Deneyimlerimiz

Objective: To determine anatomic and functional results and the complications of 23Gauge (G) transconjunctival sutureless vitrectomy technique before and after surgery. Materials and Methods: Records of 40 eyes of 40 patients in which underwent 23 G PPV were screened. Intra- and postoperative complications as well as pre- and postoperative visual acuity, intraocular pressure (IOP), slit-lamp and fundus examination and anatomical results of the surgery were reviewed. Results: The mean age of the patients was 59.24±1, 2 years (Range:19–80 years). The mean follow-up of the patients were 9, 3 months. Surgery indications for 23G PPV were VH, secondary vitreous condansation, ERM and endophthalmitis. The median visual acuity was 1,7 logmar preoperatively, and was 1,0 logmar visual acuity in follow-up of 6 months postoperatively. Suturation was not needed in any eyes. Subconjunctival hemorrhage (25%) was the most common intraoperative complication. There was not increase in IOP postoperatively. No choroidal detachment was noted in any eyes. None of the eyes developed endophthalmitis. In only two eye, retinal detachment was developed and it was needed to convertion to 20 G PPV. Hyphema (10%) and vitreous re-hemorrhage (15%) were the most common postoperative complications. Conclusion: It was found that 23 G PPV technique is effective and safely technique achieving successful anatomic and functional outcomes for selected cases. We consider that we will obtain more successful results when our surgical experiences are getting improve and that our indications for the use of this technique will enlarge if we can obtain to use of the new instruments developed for 23 G PPV.