Sutureless Vitrectomy

The introduction of pars plana vitrectomy was a revolution in ophthalmic surgery which allowed successful treatment of many previously untreatable conditions. After rapid early technical development, 3-port 20-gauge vitrectomy became established as the norm. Recent years have seen the introduction of new and innovative systems for performing vitrectomy without the need for sutures. This article describes the history of sutureless vitrectomy, and reviews the literature addressing the advantages and disadvantages of each technique.

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[2]  T. Hassan,et al.  Longer-term outcomes of transconjunctival sutureless 25-gauge vitrectomy. , 2005, American journal of ophthalmology.

[3]  Y. Mizutani,et al.  Expanded Indications for 25-Gauge Transconjunctival Vitrectomy , 2005, Japanese Journal of Ophthalmology.

[4]  H. Lewis.  Sutureless microincision vitrectomy surgery: unclear benefit, uncertain safety. , 2007, American journal of ophthalmology.

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[7]  C. Wirbelauer,et al.  Corneal shape changes after pars plana vitrectomy , 1998, Graefe's Archive for Clinical and Experimental Ophthalmology.

[8]  Xiao-Xin Li,et al.  Manual Small Incision 20-Gauge Pars Plana Vitrectomy , 2009, Retina.

[9]  C. Claes,et al.  Twenty-Gauge Transconjunctival Sutureless Vitrectomy Trocar System , 2007, Retina.

[10]  H. Flynn,et al.  Endophthalmitis after pars plana vitrectomy: Incidence, causative organisms, and visual acuity outcomes. , 2004, American journal of ophthalmology.

[11]  B. Garretson,et al.  Repair of Primary Rhegmatogenous Retinal Detachment Using 25-Gauge Transconjunctival Sutureless Vitrectomy , 2007, Retina.

[12]  Jacob J. Yunker,et al.  Incidence of Endophthalmitis Following 20-Gauge and 25-Gauge Vitrectomy , 2008, Retina.

[13]  Y. Mizutani,et al.  25-gauge scleral tunnel transconjunctival vitrectomy. , 2006, American journal of ophthalmology.

[14]  Judy E. Kim,et al.  TRANSCONJUNCTIVAL 20-GAUGE PARS PLANA VITRECTOMY USING A SINGLE ENTRY CANNULATED SUTURELESS SYSTEM , 2009, Retina.

[15]  M. Araie,et al.  Comparison of visual function after epiretinal membrane removal by 20-gauge and 25-gauge vitrectomy. , 2006, American journal of ophthalmology.

[16]  Z. Kapran,et al.  EARLY POSTOPERATIVE HYPOTONY AFTER 25-GAUGE SUTURELESS VITRECTOMY WITH STRAIGHT INCISIONS , 2008, Retina.

[17]  J. Chen,et al.  Sutureless pars plana vitrectomy through self-sealing sclerotomies. , 1996, Archives of ophthalmology.

[18]  J. Sears,et al.  Endophthalmitis after 25-gauge transconjunctival sutureless vitrectomy. , 2006, Retina.

[19]  L. López-Guajardo,et al.  Oblique sclerotomy technique for prevention of incompetent wound closure in transconjunctival 25-gauge vitrectomy. , 2006, American journal of ophthalmology.

[20]  M. Çıtırık,et al.  Keratometric alterations following the 25‐gauge transconjunctival sutureless pars plana vitrectomy versus the conventional pars plana vitrectomy , 2009, Clinical & experimental optometry.

[21]  W. Brannath,et al.  25-gauge vs 20-gauge system for pars plana vitrectomy: a prospective randomised clinical trial , 2007, British Journal of Ophthalmology.

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[23]  K. Noda,et al.  Intraoperative breakage of a 25-gauge vitreous cutter. , 2004, American journal of ophthalmology.

[24]  T. Hikichi,et al.  Comparison of one-year outcomes between 23- and 20-gauge vitrectomy for preretinal membrane. , 2009, American journal of ophthalmology.

[25]  Richard Kaiser,et al.  Incidence of endophthalmitis after 20- and 25-gauge vitrectomy. , 2007, Ophthalmology.

[26]  K. Sugiyama,et al.  Postoperative retinal break after 25-gauge transconjunctival sutureless vitrectomy: report of four cases , 2006, Graefe's Archive for Clinical and Experimental Ophthalmology.

[27]  J. Bainbridge,et al.  A pilot randomised controlled trial comparing the post-operative pain experience following vitrectomy with a 20-gauge system and the 25-gauge transconjunctival system , 2009, British Journal of Ophthalmology.

[28]  篠田 肇.  Visual recovery after vitrectomy for macular hole using 25-gauge instruments , 2011 .

[29]  C. Regillo,et al.  Hypotony After 25-Gauge Vitrectomy Using Oblique Versus Direct Cannula Insertions in Fluid-Filled Eyes , 2008, Retina.

[30]  R. Machemer,et al.  The three-port microcannular system for closed vitrectomy. , 1985, American journal of ophthalmology-glaucoma.

[31]  F. Rezende,et al.  Decompression retinopathy after 25-gauge transconjunctival sutureless vitrectomy: report of 2 cases. , 2007, Archives of ophthalmology.

[32]  I. Süveges,et al.  Complications of sutureless pars plana vitrectomy through self-sealing sclerotomies. , 1998, Archives of ophthalmology.

[33]  Z. Kapran,et al.  PRIMARY 25-GAUGE SUTURELESS VITRECTOMY WITH OBLIQUE SCLEROTOMIES IN PSEUDOPHAKIC RETINAL DETACHMENT , 2008, Retina.

[34]  S. C. Lee,et al.  Problems Associated with the 25-Gauge Transconjunctival Sutureless Vitrectomy System during and after Surgery , 2006, Ophthalmologica.

[35]  Daniel M Miller,et al.  Primary Repair of Retinal Detachment With 25-Gauge Pars Plana Vitrectomy , 2008, Retina.

[36]  E W Norton,et al.  Vitrectomy: a pars plana approach. , 1971, Transactions - American Academy of Ophthalmology and Otolaryngology. American Academy of Ophthalmology and Otolaryngology.

[37]  E. Çelik,et al.  Corneal topographic changes after transconjunctival (25-gauge) sutureless vitrectomy. , 2005, American journal of ophthalmology.

[38]  A. Ho,et al.  Short-Term Outcomes of 25-Gauge Vitrectomy With Silicone Oil for Repair of Complicated Retinal Detachment , 2008, Retina.

[39]  R. Spaide,et al.  Outcomes of 77 consecutive cases of 23-gauge transconjunctival vitrectomy surgery for posterior segment disease. , 2007, Ophthalmology.

[40]  D. Pauleikhoff,et al.  [Long-term results after pars plana vitrectomy with 25 gauge technique]. , 2008, Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft.

[41]  Mark S Humayun,et al.  Outcomes of 140 consecutive cases of 25-gauge transconjunctival surgery for posterior segment disease. , 2005, Ophthalmology.

[42]  M. Humayun,et al.  Initial experience using the transconjunctival sutureless vitrectomy system for vitreoretinal surgery. , 2002, Ophthalmology.

[43]  E. Neoh,et al.  Reversed self-sealing pars plana sclerotomies. , 2001, Retina.

[44]  L. López-Guajardo,et al.  Ultrasound biomicroscopy study of direct and oblique 25-gauge vitrectomy sclerotomies. , 2007, American journal of ophthalmology.

[45]  C. Eckardt,et al.  TRANSCONJUNCTIVAL SUTURELESS 23-GAUGE VITRECTOMY , 2005, Retina.

[46]  H. Flynn,et al.  Endophthalmitis after pars plana vitrectomy. The Postvitrectomy Endophthalmitis Study Group. , 1995, Ophthalmology.

[47]  H. Towler,et al.  Self-sealing sclerotomies for sutureless pars plana vitrectomy. , 2000, Ophthalmic surgery and lasers.

[48]  C. O'Malley,et al.  Vitrectomy with an alternative instrument system. , 1975, Annals of ophthalmology.

[49]  H. Jampel,et al.  CORNEAL ASTIGMATIC CHANGES AFTER PARS PLANA VITRECTOMY , 1987, Retina.

[50]  G. Pertile,et al.  Incidence of endophthalmitis in a large series of 23-gauge and 20-gauge transconjunctival pars plana vitrectomy , 2009, Graefe's Archive for Clinical and Experimental Ophthalmology.

[51]  Stanislao Rizzo,et al.  25-gauge, sutureless vitrectomy and standard 20-gauge pars plana vitrectomy in idiopathic epiretinal membrane surgery: a comparative pilot study , 2005, Graefe's Archive for Clinical and Experimental Ophthalmology.

[52]  Z. Kapran,et al.  Acute endophthalmitis after 25-gauge sutureless vitrectomy , 2007, International Ophthalmology.

[53]  C. Eckardt,et al.  [Outcome of corneal astigmatism after pars plana vitrectomy with or without simultaneous cataract extraction]. , 1996, Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft.

[54]  F. Boscia,et al.  Gentamicin-induced macular infarction in transconjunctival sutureless 25-gauge vitrectomy , 2008, International Ophthalmology.

[55]  Daniel M Miller,et al.  OUTCOMES OF TRANSCONJUNCTIVAL SUTURELESS 25-GAUGE VITRECTOMY WITH SILICONE OIL INFUSION , 2007, Retina.

[56]  Rishi P. Singh,et al.  EVALUATION OF WOUND CLOSURE USING DIFFERENT INCISION TECHNIQUES WITH 23-GAUGE AND 25-GAUGE MICROINCISION VITRECTOMY SYSTEMS , 2008, Retina.

[57]  J. Korobelnik,et al.  [Outcomes of 110 consecutive 25-gauge transconjunctival sutureless pars plana vitrectomies]. , 2008, Journal francais d'ophtalmologie.

[58]  E. Gotzaridis.  Sutureless Transconjunctival 20 Gauge Pars Plana Vitrectomy , 2007, Seminars in ophthalmology.

[59]  T. Oshika,et al.  Changes in corneal topography after 25-gauge transconjunctival sutureless vitrectomy versus after 20-gauge standard vitrectomy. , 2007, Ophthalmology.

[60]  H. Flynn,et al.  ENDOPHTHALMITIS AFTER 25-GAUGE AND 20-GAUGE PARS PLANA VITRECTOMY: Incidence and Outcomes , 2008, Retina.

[61]  S. Taylor,et al.  Endophthalmitis following 25-gauge vitrectomy , 2005, Eye.

[62]  C. Regillo,et al.  Intraoperative sclerotomy-related retinal breaks for macular surgery, 20- vs 25-gauge vitrectomy systems. , 2007, American journal of ophthalmology.

[63]  Marco Mura,et al.  Iatrogenic retinal breaks in 25-gauge macular surgery. , 2009, American journal of ophthalmology.

[64]  M. Trese,et al.  A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery. , 2002, Ophthalmology.

[65]  Tom Chang,et al.  Sutureless 25-gauge vitrectomy: risky or rewarding? , 2007, Ophthalmology.

[66]  K. Sonmez,et al.  Tissue glue in sutureless vitreoretinal surgery for the treatment of wound leakage. , 2008, Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye.