Rate of Hypotony Following 25-Gauge Pars Plana Vitrectomy

被引：12
作者：
Gupta, Naina [1 ]
Punjabi, Omar S. [2 ]
Steinle, Nathan C. [2 ]
Singh, Rishi P. [2 ]
机构：
[1] Case Western Reserve Univ, Cleveland, OH 44106 USA
[2] Cleveland Clin Fdn, Cole Eye Inst, Cleveland, OH 44195 USA
来源：
OPHTHALMIC SURGERY LASERS & IMAGING | 2013年 / 44卷 / 02期
关键词：
TRANSCONJUNCTIVAL SUTURELESS VITRECTOMY; AFFER; 25-GAUGE; ENDOPHTHALMITIS; 20-GAUGE; SURGERY; OUTCOMES;
D O I：
10.3928/23258160-20130215-01
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
BACKGROUND AND OBJECTIVE: To report the rates of hypotony after 25-gauge vitrectomy. PATIENTS AND METHODS: A retrospective review of 111 consecutive cases was performed in patients undergoing transconjunctival 25-gauge pars plans vitrectomy with either air or gas as a tamponade agent. The primary outcome measure was postoperative intraocular pressure less than 5 mm Hg. A Wilcoxon rank-sum test was conducted to determine the statistical significance of continuous variables in association with rates of hypotony. RESULTS: The overall incidence of hypotony on postoperative day 1 was found to be 8.1%. The rate of hypotony was 16.7% in uveitis cases and 0% in routine macular surgery. The rate of hypotony in cases in which sutures were used was 41.7%, compared to 4% in cases in which sutures were not used (P = .001). CONCLUSION: Hypotony rates were significantly higher after 25-gauge transconjunctival pars plana vitrectomy in uveitis and some other conditions.
引用
收藏
页码：155 / 159
页数：5
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