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Trimanual technique using assistant-controlled light probe illumination and wide-angle viewing system in 23-gauge sutureless vitrectomy for diabetic tractional retinal detachment.在23G无缝合玻璃体切除术中采用助手控制的光探头照明和广角观察系统的三手法技术治疗糖尿病性牵引性视网膜脱离
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Outcome of 23-gauge pars plana vitrectomy for pediatric vitreoretinal conditions.23G经睫状体平坦部玻璃体切除术治疗儿童玻璃体视网膜疾病的疗效
J Pediatr Ophthalmol Strabismus. 2014 Jan-Feb;51(1):27-31. doi: 10.3928/01913913-20131126-01. Epub 2013 Dec 3.
3
Sutureless 27-gauge needle-guided intrascleral intraocular lens implantation with lamellar scleral dissection.无缝线 27 号针引导的巩膜内眼晶状体植入术伴板层巩膜切开术。
Ophthalmology. 2014 Jan;121(1):61-66. doi: 10.1016/j.ophtha.2013.08.043. Epub 2013 Oct 20.
4
23-gauge vitrectomy with intraocular foreign body removal via the limbus: an alternative approach for select cases.经角膜缘行23G玻璃体切除术联合眼内异物取出术：特定病例的一种替代方法
Indian J Ophthalmol. 2014 Jun;62(6):707-10. doi: 10.4103/0301-4738.116458.
5
The effect of air tamponade on the ingress of ocular surface pathogens in sutureless transconjunctival microincisional vitrectomy.空气填塞对无缝线经结膜微创玻璃体切除术中眼表病原体入侵的影响。
Retina. 2013 Mar;33(3):566-70. doi: 10.1097/IAE.0b013e31826710c0.
6
Factors affecting wound leakage in 23-gauge sutureless pars plana vitrectomy.影响 23G 免缝线经睫状体平坦部玻璃体切除术伤口渗漏的因素。
Retina. 2011 Jun;31(6):1101-8. doi: 10.1097/IAE.0b013e3181ff0d77.
7
Hypotony after 25-gauge vitrectomy.25G 玻切术后低眼压。
Am J Ophthalmol. 2011 Jan;151(1):156-60. doi: 10.1016/j.ajo.2010.06.042. Epub 2010 Oct 20.
8
Risk factors associated with sclerotomy leakage and postoperative hypotony after 23-gauge transconjunctival sutureless vitrectomy.23G 经结膜无缝线玻璃体切除术后巩膜切口渗漏及术后低眼压的相关危险因素。
Retina. 2009 Apr;29(4):456-63. doi: 10.1097/IAE.0b013e318195cb28.
9
Dynamic morphology of clear corneal cataract incisions.透明角膜白内障切口的动态形态学
Ophthalmology. 2003 Dec;110(12):2342-8. doi: 10.1016/S0161-6420(03)00733-4.

在23G无缝合玻璃体切除术中，针注可避免使用缝线并防止低眼压。

Needle infusion avoids using sutures and prevents hypotony in the 23 gauge sutureless vitrectomy.

作者信息

Zhang Yingjie, Zhu Dongqing, Zhou Jibo

机构信息

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine Shanghai 200011, P. R. China.

出版信息

Int J Clin Exp Med. 2015 Oct 15;8(10):19176-9. eCollection 2015.

PMID:26770552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4694452/
Abstract

OBJECTIVE

To investigate the effects of needle infusion on preventing wound leakage and hypotony in sutureless vitrectomy.

METHODS

We retrospectively reviewed 230 consecutive eyes of 23-gauge pars plana vitrectomy with or without needle infusion, and further measured the wound leakage and intraocular pressure (IOP) without using a suture.

RESULTS

In the eyes with primary needle infusion inserted before infusion cannula removal, IOP was stable during and after infusion cannula removal. No suture was needed in the procedure. Postoperative hypotony did not occurred in all eyes with needle infusion either.

CONCLUSION

Needle infusion inserted before infusion cannula removal can avoid using sutures and prevent hypotony intraoperatively and postoperatively.

摘要

目的

探讨在无缝线玻璃体切除术中针内注射对预防伤口渗漏和低眼压的作用。

方法

我们回顾性分析了230例连续行23G经平坦部玻璃体切除术的患眼，术中有无针内注射，并在不使用缝线的情况下进一步测量伤口渗漏和眼压（IOP）。

结果

在拔除灌注套管前先行针内注射的患眼中，拔除灌注套管期间及之后眼压保持稳定。手术过程中无需缝线。所有行针内注射的患眼术后均未发生低眼压。

结论

在拔除灌注套管前进行针内注射可避免使用缝线，并预防术中及术后低眼压。