Epiretinal membrane surgery with 23-gauge transconjunctival sutureless vitrectomy using double-staining technique.

Objective: To evaluate the 23-gauge (23-G) transconjunctival sutureless vitrectomy (TSV) results for epiretinal membranes (ERM) using double-staining technique with trypan blue (TB) and brilliant blue (BB). Material and Methods: In this study, 15 eyes of 15 patients who underwent 23-G TSV for primar...

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Published in:Turkiye Klinikleri Journal of Medical Sciences Vol. 32; no. 3; pp. 739 - 745
Main Authors: Horozoglu, Fatih, Yanyali, Ates, Maçin, Aydin, Topçu, Birol, Nohutçu, Ahmet F, Keskinbora, Kadircan
Format: diagnostic images research tables/charts Journal Article
Published: Turkiye Klinikleri Jun2012
Online Access:View this record in EBSCOhost
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      dt: Jun2012
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      pub: Turkiye Klinikleri
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        10.5336/medsci.2011-26272
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        atl: Epiretinal membrane surgery with 23-gauge transconjunctival sutureless vitrectomy using double-staining technique.
      aug:
        au:
          Horozoglu, Fatih
          Yanyali, Ates
          Maçin, Aydin
          Topçu, Birol
          Nohutçu, Ahmet F
          Keskinbora, Kadircan
      sug:
        subj:
          Retinal Diseases Surgery
          Eye Surgery Methods
          Suture Techniques
          Human
          Record Review
          Retrospective Design
          Treatment Outcomes
          Visual Acuity
          Wilcoxon Rank Sum Test
      ab: Objective: To evaluate the 23-gauge (23-G) transconjunctival sutureless vitrectomy (TSV) results for epiretinal membranes (ERM) using double-staining technique with trypan blue (TB) and brilliant blue (BB). Material and Methods: In this study, 15 eyes of 15 patients who underwent 23-G TSV for primary ERM were retrospectively reviewed. TB was used for ERM removal and BB was used for inner limiting membrane (ILM) removal, consecutively. Main outcome measures were visual acuity, intraocular pressure, and intraoperative and postoperative complications. Wilcoxon test was used for statistical analysis. Results: Median follow-up was 4 months (range, 1-11 months). ERM, which was present in preoperative optical coherence tomography scanning, was not detected postoperatively in any of the eyes. Preoperative visual acuity was between counting fingers from 2 meters and 2/10, whereas it was between 1/10 and 9/10 postoperatively. Median logMAR visual acuity was 0.5 (0.30-1.60) preoperatively and 0.40 (0.10-1.18) postoperatively (p=0.039, Wilcoxon test). Median intraocular pressure was 15 (11-16) mmHg preoperatively, and 14 (8-21) mmHg postoperatively (p=0.685, Wilcoxon testi). While visual acuity improved by 2 or more lines in 9 eyes (60%), it remained within ±2 lines in 6 eyes (40%). Cataract developed in one eye (6.7%) and rhegmatogenous retinal detachment developed in another eye (6.7%). Postoperative ERM recurrence did not develop. Conclusion: 23-G TSV with double-staining technique seems to be effective and safe in ERM surgery. The effectiveness of this method can be assessed better with prospective studies including large number of patients.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Turkish
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