Cho Young Jae, Lee Jun Mo, Kim Sung Soo
Institute of Vision and Research, Department of Ophthalmology, Yonsei University College of Medicine, 146-92 Dogok-dong, Kangnam-gu, Seoul 135-720, Korea.
Yonsei Med J. 2004 Aug 31;45(4):615-20. doi: 10.3349/ymj.2004.45.4.615.
This report presents the effectiveness of 25-gauge Transconjunctival Sutureless Vitrectomy (TSV) for various vitreoretinal disorders. We performed vitreoretinal surgery on 6 patients using 25-gauge TSV. Minimal or no leakage of intraocular fluid or gas was observed at the entry site. No case required a suture to close the conjunctival or scleral opening site, and no complications resulted from the opening site. Median preoperative visual acuity was 0.04 and median postoperative best corrected visual acuity (BCVA) with a mean follow-up of 12 weeks, was 0.45. Median preoperative intraocular pressure was 12.67 mmHg, and median intraocular pressure on the first postoperative day was 15.67 mmHg. Because transconjunctival sutureless surgery is minimally invasive, it increases the efficiency of vitrectomy, hastens postoperative recovery, and improves outcomes due to the simplified surgical procedure. We feel that the adoption of the 25-gauge TSV would lead to improved patient comfort, care, and management.
本报告介绍了25G经结膜无缝合玻璃体切除术（TSV）治疗各种玻璃体视网膜疾病的有效性。我们使用25G TSV对6例患者进行了玻璃体视网膜手术。在穿刺部位观察到极少或无眼内液或气体渗漏。无一例需要缝合来关闭结膜或巩膜开口部位，且开口部位未引发并发症。术前视力中位数为0.04，术后平均随访12周时最佳矫正视力（BCVA）中位数为0.45。术前眼压中位数为12.67 mmHg，术后第一天眼压中位数为15.67 mmHg。由于经结膜无缝合手术微创，它提高了玻璃体切除术的效率，加速了术后恢复，且因简化的手术操作改善了治疗效果。我们认为采用25G TSV将提高患者的舒适度、护理及管理水平。
