Transconjunctival vitreous surgery using a 25-gauge instrument system

Accession number;04A0375659
Title;Transconjunctival vitreous surgery using a 25-gauge instrument system
Author; KIMURA HIDEYA (Nagataganka) KURODA SHIN'ICHIRO (Nagataganka) NAGATA MAKOTO (Nagataganka)
Journal Title;Japanese Journal of Clinical Ophthalmology
Journal Code:Z0515B
ISSN:0370-5579
VOL.58;NO.4;PAGE.475-477(2004)
Figure&Table&Reference;FIG.3, REF.4
Pub. Country;Japan
Language;Japanese
Abstract;We performed vitreous surgery using a 25-gauge instrument system on 33 eyes of 31 patients. The series comprised idiopathic epiretinal membrane 26 eyes, secondary epiretinal membrane 3 eyes, and branch retinal vein occlusion 2 eyes. Simultaneous cataract surgery through corneal incision was performed on 27 eyes. The procedure was less efficient than that with 20-gauge system but the outcome was almost the same. One eye developed iris prolapse during insertion of microcannula. Four eyes needed additional scleral suture. Postoperative complications included transient ocular hypotony 7 eyes, transient bleb formation 10 eyes, leakage through the conjunctival wound 4 eyes, and choroidal detachment 4 eyes. Postoperative inflammation or foreign body sensation was almost absent. It was possible to perform minimally invasive surgery with this system. (author abst.)